UHCs typical prior authorization requirements for Wegovy and Zepbound include: BMI documentation A documented BMI of 30 or higher, or BMI of 27 or higher with at least one weight-related comorbidity such as type 2 diabetes, hypertension, dyslipidemia, or obstructive sleep apnea Comorbidity evidence Clinical records documenting the specific comorbidities that support the medical necessity of treatment Supervised weight management history Evidence of participation in a structured weight management program, which may include diet, exercise, and behavioral counseling, typically for 3 to 6 months prior to the request Prescriber qualifications The prescriber must be a physician, nurse practitioner, or physician assistant with appropriate prescribing authority UHC reviews prior authorizations against specific clinical policy bulletins
A randomized, controlled trial of 3.0 mg of liraglutide in weight management', New England Journal of Medicine , 373/1, 11-22
Adults ages 30 to 49 and 50 to 64 are more likely than those under age 30 and older than 64 to report ever using these drugs primarily to lose weight
Apr 3, 2026 At the cellular level, something remarkable happens when tirzepatide binds to its receptors