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Medical Necessity Checklist for Formulary Exception If you're requesting a formulary exception, gather this documentation first: Required Documentation for Exception Request Current BMI documentation (30 or 27 with comorbidity) Documented comorbidities with ICD-10 codes (medical diagnosis codes): Obesity Class I/II/III (E66.811, E66.812, E66.813) Hypertension (I10) Type 2 Diabetes (E11) Dyslipidemia/high cholesterol (E78.5) Obstructive Sleep Apnea (G47.33) Failed alternative treatments documented trials of: Phentermine or diethylpropion Qsymia or Contrave Semaglutide (Wegovy/Ozempic) for 6+ months Lifestyle modification records (diet/exercise program participation) Weight history showing chronic obesity (past 1-2 years) Letter of Medical Necessity from your Kaiser provider For more on prior auth documentation, see our Wegovy prior authorization guide EXCEPTION PATHWAYS How Some Members Get Coverage While standard coverage is limited, some Kaiser members do get Wegovy covered

More than half of those without preexisting conditions said they drank less alcohol when taking a GLP-1

My cholesterol was too high for the first time, and inflammation was slowing me down. After researching GLP-1s, Colleen decided Zepbound was the right choice for her (and her Ro-affiliated provider ultimately agreed)

GLP-1 Weight Loss Program GLP-1 Weight Loss at Rejuvia Semaglutide, Tirzepatide & Retatrutide Dallas, TX The conversation around weight loss has changed