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"Not medically necessary" or "step therapy required" = PA denial (you can appeal) "Excluded benefit" or "not covered" = your plan's formulary differs from standard (request exception) WHAT'S COMING Aetna Coverage Outlook for 2026 Wegovy Coverage Expected to Continue in 2026 CVS Caremark's deal with Novo Nordisk positions Wegovy as the primary GLP-1 option for Aetna plans

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One Aon study found that weight loss plus comorbidity improvement offsets costs even at high drug prices

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Drug repositioning in cancer: the current situation in Japan

Like, they'll add on a B12 or a B6 to say, like, the patient had nausea from the traditional semaglutide