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As an alternative to FDA-approved branded products, where appropriate, a provider may prescribe a compounded drug that is effective when prescribed off label for weight loss

We understand that weight loss is not just about a number on a scale

The other arrived more recently as a weekly injection promising weight loss, blood sugar control, and heart health

(iv) concomitant treatment with psychiatric medication

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The takeaway: if you are planning to request Wegovy through Express Scripts, ask your provider to prescribe a 90-day course of orlistat first, document your weight at the start and end of the 90 days, and submit the Wegovy prior authorization after the orlistat trial