Patients with pre-existing GERD should be counseled about potential symptom exacerbation and monitored appropriately during GLP-1 initiation
Common Humana Denial Reasons "Plan exclusion" Weight loss is not a covered indication (most common) "Missing diagnosis code" Pharmacy didn't submit ICD-10 code (resubmit, don't appeal) "Prior auth not obtained" Medicaid plans require PA before filling "Step therapy required" Must try other meds first (Saxenda, Contrave) When an Appeal Makes Sense Medicaid PA denial you meet criteria but were denied anyway OSA coverage dispute Medicare denied despite valid sleep apnea diagnosis Wrong diagnosis code your doctor listed the wrong indication Renewal denial you showed 5% weight loss but were still denied If your situation fits one of these, appeals can work
When people lose weight, stretch marks might also become more visible, however its likely the stretch marks were formed during the weight gain
Koehler JA, Baggio LL, Yusta B, Longuet C, Rowland KJ, Cao X, et al
The median dosing period per prescription was 5 days (interquartile range: 312 days)