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Reducing Time in Patient Eligibility and PA: Wegovy and Zepound Case Study

Prior authorization (PA) is a process where healthcare providers must obtain advance approval from a patient’s insurance company before certain high-cost medications can be dispensed. For GLP-1 medications like Wegovy and ZepBound, this step ensures that the treatment is medically necessary and meets the specific criteria required by the health plan. This process also confirms that the patient is eligible for the medication under their insurance policy and protects against unexpected out-of-pocket expenses. Why Is Prior Authorization Important for Wegovy