DecisionHealth, DecisionHealth - 2024 Issue 7 (July)

Be careful of patients seeking Wegovy with suspect heart complaints

Question: We have some patients asking questions about Wegovy (semaglutide) coverage. In some instances they apparently want it for weight loss, but suggest they might be suffering from heart trouble in ways that lead us to believe they’re just looking to get it covered by Medicare Part D, which will not pay for it otherwise. Do we need to have a policy for this?

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