| Health Net |
| Wegovy (semaglutide (weight loss)) |
| Drugs for Eating Disorders : Drugs for Eating Disorders |
- Obesity:
Age Requirement: >= 18
Duration: 16 week(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 6 month(s)
- Prior Authorization: Obesity:
Documented Diagnosis: Yes
Age Requirement: >= 18
Duration: 16 week(s)
Reauthorization Required: Yes
|