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A 300% increase from a very low baseline is still a very low number

What to Include in Your Appeal Written, signed appeal letter explaining why you disagree Copy of the denial decision from Express Scripts Supporting documentation addressing the specific denial reason Letter of Medical Necessity from your prescriber Updated medical records (weight, BMI, comorbidities) Clinical evidence SURMOUNT trial data showing 15-21% weight loss Where to Send Your Appeal Express Scripts Appeal Address Mail: Express Scripts, Inc., P.O