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Description

For Continuing Therapy If you are already on Zepbound: A renewal PA is required at 29 weeks After that, PAs are required every 12 months You must generally demonstrate a 5% reduction in weight from your baseline Important Clarification for Members Switching from Another GLP-1 If you are continuing therapy on a GLP-1 weight loss medication other than Zepbound, such as Wegovy: even if your BMI is now below 30, if you have lost 5% or more of your baseline weight, you may still meet prior authorization criteria for Zepbound under continuation-of-therapy guidelines

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