Key criteria from UHC's official policy (P 1114-18): [3] BMI 30 , or 27 with a comorbidity (a weight-related health condition like diabetes, high blood pressure, sleep apnea, or high cholesterol) Age 12+ (adults or adolescents with BMI 95th percentile) Lifestyle modifications documented (diet, exercise, behavioral support) Initial approval: 5 months
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The Wegovy pill costs $149 to $299, compared to $199 to $349 for weekly injections, according to obesity medicine physician Richele Corrado, DO
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