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Increased appetite and food intake represent the most direct challenge

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"Not medically necessary" or "step therapy required" = PA denial (you can appeal) "Excluded benefit" or "not covered" = plan exclusion (different strategy needed) WHAT'S COMING BCBS Coverage Changes for 2026 Coverage Outlook for 2026 Exclusions remain common across many BCBS plans for Zepbound in 2026 even for patients who previously had coverage