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Our collaboration gives employers a way to provide expert medical management of obesity, without the massive price tag," said Paul Geevarghese, chief operating officer and co-founder of 9amHealth, in a statement
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Based on this information, a personalized care plan is created that aligns with the patients wellness and weight loss goals
Here's what to expect: Prior authorization (PA) required Most plans still require approval before coverage BMI criteria apply Typically BMI (body mass index) 30, or 27 with a comorbidity (related health condition like diabetes or high blood pressure) Tier 2 or 3 placement Copays vary by employer plan Step therapy may apply Some plans require trying other treatments first Important: CVS Caremark is a pharmacy benefit manager (PBM), not an insurance company