Prior Authorization Criteria for Michigan Medicaid To qualify for Wegovy coverage under Michigan Medicaid, a prescriber typically must document: BMI 30 kg/m, or BMI 27 kg/m with at least one weight-related comorbidity (hypertension, type 2 diabetes, dyslipidemia, or obstructive sleep apnea) Participation in or referral to a behavioral weight-management program Absence of contraindications listed in the FDA label, including personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2 (FDA prescribing information) Prescriber attestation that the patient has attempted lifestyle modification for at least 90 days PA approvals are typically granted for six months initially, with renewal requiring documented weight loss of at least 5% body weight
As we age, NAD+ levels naturally decline
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The first 1-2 weeks are the hardest
This is due to overstimulation by GLP-1 agonists, which can then lead to hyperplasia and subsequent pancreatitis