The primary role of Semaglutide is is to help patients shed weight
If they do, the prior authorization process may be extensive
It may help the body lose fat by reducing appetite, improving fullness, supporting blood sugar control, and making it easier to maintain a calorie deficit
it reflects your body's natural response to the absence of GLP-1 mimicry
Aetna typically requires prior authorization for weight loss medications, including documentation of BMI, related health conditions, and prior weight loss efforts to determine coverage eligibility for drugs like Zepbound, Wegovy, or Saxenda
They narrowed it down to 36 total studies