| Health Net |
| Saxenda (liraglutide (weight loss)) |
| Drugs for Eating Disorders : Drugs for Eating Disorders |
- Prior Authorization: Obesity:
Documented Diagnosis: Yes
Age Requirement: >= 12
Duration: 16 week(s)
Reauthorization Required: Yes
- Obesity:
Age Requirement: >= 12
Duration: 16 week(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 36 week(s)
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