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Common reasons for denial at the prior authorization stage: Insufficient documentation of diet and exercise attempts (the most common denial reason, accounting for roughly 40% of rejections) BMI below threshold without documented comorbidity Lack of recent weight or BMI measurement Plan-level exclusion for weight-loss medications Prescriber did not submit required clinical notes The prior authorization approval rate for Wegovy across CVS Caremark commercial plans is approximately 63% based on 2024 data from IQVIA