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There are a few things worth doing immediately if youre in this situation: Talk to your prescribing physician about whether your medical record documents all qualifying conditions including pre-diabetes, cardiovascular disease, or sleep apnea that could support a covered indication under your employers revised policy Request a formal medical necessity letter from your provider if you plan to appeal your insurers coverage denial Research your states Medicaid position on GLP-1s Simplefills breakdown of the state-by-state divide over GLP-1 Medicaid coverage is an up-to-date resource on which states are covering these medications and under what conditions Dont Wait Until You Miss a Dose The patients who get the best outcomes from prescription assistance are the ones who start the process before their coverage actually lapses

Author CB received lecture fees and served as a consultant for Takeda, MSD, Ferring, Abbvie, Galapagos and Janssen

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