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For Humana commercial plans, the 2026 PA criteria require five elements: BMI of 30 or higher, or BMI 27 to 29.9 with at least one weight-related comorbidity (type 2 diabetes, hypertension, dyslipidemia, OSA, CVD), documentation of a structured weight management program for at least 6 months in the past 24 months, prescriber attestation that lifestyle changes alone have been inadequate, age 18 or older, and concurrent reduced-calorie diet and physical activity

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According to the complaint, Bella Rose uses Novo Nordisks Ozempic and Wegovy marks to market and sell to patients compounded drug products that purport to contain semaglutide and that such use falsely and misleadingly represents to patients that its products are FDA-approved or the same as, or equivalent to, Novo Nordisks FDA-approved semaglutide medicines. Bagsvrd, Denmark-headquartered Novo Nordisk claims that in addition to using the Ozempic and Wegovy marks in its marketing materials, Bella Rose has also used hashtags like Ozempic and Wegovy on social media posts to confuse customers into purchasing unapproved compounded versions of semaglutide

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Severe gastrointestinal symptoms : Persistent nausea, vomiting, or diarrhoea lasting more than a few days, which may impair levothyroxine absorption