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ForumsInsurance & AccessUnited Healthcare PA criteria for Wegovy — 12 month update Page 6

United Healthcare PA criteria for Wegovy — 12 month update

VanRx_Mike Sat, Feb 1, 2025 at 4:55 AM 45 replies 2,158 viewsPage 6 of 9
NurseKim_ATL
Senior Member
1,678
7,234
Feb 2024
Atlanta, GA
Feb 1, 2025 at 1:25 PM#26

Just wanted to say — for anyone reading this United Healthcare PA thread who is feeling discouraged: it gets better. The first 6 weeks are the hardest. Hang in there. 💪

4 6denise_HTX, raj_cambridge, ingrid_STO and 1 other
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COA_Karl
Senior Member
2,123
8,901
Jan 2024
Pennsylvania
Feb 1, 2025 at 1:42 PM#27

Slightly tangential to United Healthcare PA but mike_mod reminded me — what is the latest on the oral formulations?

I know it is not exactly on-topic but it seems related enough to ask here rather than starting a new thread. Apologies if this has been covered — I did search first.

24 17jim_asheville, matt_MKE, Dr.ReproEndo and 21 others
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wei_SG
Member
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Nov 2024
Singapore, SG
Feb 1, 2025 at 1:59 PM#28

Agreed. My doctor said the same thing about United Healthcare PA.

Last edited: Feb 1, 2025 at 2:59 PM
38 9Dr.MetabolicMD, RetaRick_CA, JenPlateau and 35 others
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pam_columbus
Member
312
1,345
Aug 2024
Columbus, OH
Feb 1, 2025 at 2:16 PM#29

Want to share my personal experience related to United Healthcare PA criteria since I think it might help others in a similar situation.

I started my GLP-1 journey in October 2024 at 247 lbs with prediabetes and hypertension. My endocrinologist prescribed semaglutide 0.25mg to start.

Now, 6 months later: I am down 57 lbs, my labs have normalized, and I am off 2 of my 3 medications. The United Healthcare PA aspect specifically was something that made a big difference in my journey.

This community helped me every step of the way.

Last edited: Feb 1, 2025 at 8:16 PM
30 9tammy_FL, Dr.LipidDallas, alex_tucson and 27 others
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jim_asheville
Member
289
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Aug 2024
Asheville, NC
Feb 1, 2025 at 2:33 PM#30

Clinical perspective on United Healthcare PA criteria for Wegovy:

I have managed ~150 patients on GLP-1 therapy and this topic comes up frequently. What the data shows — and what I see in practice — is that proper titration prevents most adverse events.

For this specific question, I would recommend: reviewing the relevant clinical guidelines.

34 18LarryQC_SD, wanda_boise, NurseAsh_DET and 31 others
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