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Where covered, Wegovy is placed on a specialty tier and requires prior authorization: BMI 30 or higher, or BMI 27 or higher with a weight-related comorbidity (hypertension, type 2 diabetes, dyslipidemia, or obstructive sleep apnea), plus documented participation in a lifestyle or weight-management program

The symptom does not necessarily indicate treatment failure or a serious underlying problem, but rather reflects the medication's expected pharmacological effect on gastrointestinal motility

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