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Key criteria from Cigna's GLP-1 Coverage Policy: [5] BMI (body mass index) 30 (or 27 with hypertension, type 2 diabetes, sleep apnea, cardiovascular disease) 3 months documented lifestyle efforts (diet and exercise in your medical record) No concurrent GLP-1 use can't take Wegovy with Ozempic or other GLP-1 medications Renewal: Must lose 5% of starting weight to continue coverage Cigna Decision Timelines For medical services (not prescriptions), standard reviews take 5-7 business days