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Two years ago, Jennifer Silver, 34, a dentist in Alberta, Canada, began taking a GLP-1 agonist medication to lose weight
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"Not medically necessary" or "step therapy required" = PA denial (you can appeal) "Excluded benefit" or "not covered" = plan exclusion (different strategy needed) WHAT'S COMING BCBS Coverage Changes for 2026 Coverage Outlook for 2026 Exclusions remain common across many BCBS plans for Zepbound in 2026 even for patients who previously had coverage
As the reach of glucagon-like peptide-1 (GLP-1) medications such as Ozempic continue to expand in the United States and Canada, how those drugs influence mental health has become an urgent question
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