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Hathaway JT, Shah MP, Hathway DB, et al
Why Aetna might deny Zepbound coverage for weight loss Aetna might deny Zepbound coverage for weight loss for a few reasons: No prior authorization
Pregnant and breastfeeding women are rarely included in clinical medicine trials
Unlike semaglutide (a large peptide requiring specialized absorption technology), orforglipron is a small molecule that absorbs more reliably through the GI tract, can be taken with food, and is cheaper to manufacture
Optum Rx stands ready to help organizations futureproof their strategies, manage rising demand and maintain benefit affordability while delivering highquality care.