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If not, who decides our formulary?" Make the business case: Obesity treatment reduces long-term healthcare costs (diabetes, heart disease, joint problems) Gather support: If coworkers also want coverage, a group request carries more weight Time it right: Benefits are often reviewed in Q3-Q4 for the following year Be patient: Formulary changes typically take effect at the next plan year FOR PLANS THAT COVER ZEPBOUND Prior Authorization Requirements Prior Authorization Requirements Who These Requirements Apply To Since most Aetna commercial plans now exclude Zepbound, these PA requirements mainly apply to: (1) self-funded employer plans that still cover it, (2) exception requests, or (3) coverage for sleep apnea

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These warrant a phone call to your prescriber: Vomiting more than 24 hours preventing fluid intake Severe abdominal pain that does not resolve in a few hours Diarrhoea lasting more than 3 days Constipation lasting more than 7 days despite fibre and fluids Persistent dizziness or near-fainting episodes Inability to eat or drink for more than 24 hours Signs of dehydration (dark urine, dry mouth, dizziness on standing) Any of the serious side effects listed above Frequently Asked Questions When do semaglutide side effects peak

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