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We commend Lilly for their leadership in offering an innovative solution that brings us closer to making equitable care a reality

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Private Insurance Coverage is highly variable: Most plans cover for diabetes (Ozempic, Mounjaro) Obesity coverage (Wegovy, Zepbound) is inconsistent Many require BMI 30+ or BMI 27+ with comorbidities Prior authorization almost always required Some plans increased BMI thresholds to 32 or 35 in 2024-2025 Tip: If denied, appeals often succeed with documentation of metabolic dysfunction (elevated fasting glucose, insulin resistance, lipid abnormalities)

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