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Why Trust Everyday Health Amy Fischer, MS, RD, CDN Author Amy Fischer, MS, RD, CDN, is the former senior nutrition editor at Health
If that sounds familiar, you are not alone
If your state Medicaid denies coverage, options include appealing with additional documentation, requesting a formulary exception, exploring compounded alternatives, or cash-pay pricing if affordable
It has extremely effective results, she says
Common eligibility criteria may include: BMI of 30 or higher BMI of 27 or higher with at least one weight-related health condition History of failed diet attempts or weight regain Appetite, cravings, or portion control challenges Metabolic risk factors such as insulin resistance, elevated glucose, high cholesterol, or hypertension Need for physician-supervised weight loss due to medical complexity Eligibility must be determined through a medical consultation
Practices still submitting H57.8 receive denials
