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The 13 states that maintain coverage impose strict restrictions including BMI thresholds over 30, prior authorization requirements, and step therapy mandating patients first try diet, exercise, and cheaper alternatives

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As part of this shift, Blue Cross Blue Shield of Michigan (Medicare) will now require members to start with Liraglutide, followed by step therapy before accessing other GLP-1s such as Ozempic or Wegovy

Having pre-made meals eliminates this trigger entirely