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For Aetna commercial plans, prior authorization typically requires a letter of medical necessity from the prescribing provider documenting the patient's BMI, at least one comorbidity, participation in a structured diet and exercise program for a minimum of three months, and the clinical rationale for the requested medication

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If you are looking for nutritional support while you adjust, the GLP-1 Daily Support supplement can be a simple next step

Liraglutide (Saxenda/Victoza): Shorter half-life than semaglutide, requiring daily rather than weekly dosing