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They approve nearly everyone who qualifies under their longevity category

[8] Common Anthem denial reasons for Wegovy: Formulary exclusion / excluded benefit Denial Guide Medical necessity not met Medical Necessity Guide Step therapy required Denial Guide Anthem Appeal Basics Deadline: Typically 180 days from denial to file internal appeal (check your denial letter for exact deadline) Tip: Ask your doctor to request a peer-to-peer review with Anthem's medical director (if available) "Excluded benefit"

[DOI] [PubMed] [Google Scholar] 45.Robbins N, Uppuluri P, Nett J, Rajendran R, Ramage G, Lopez-Ribot JL, Andes D, Cowen LE

Nazari, K., Mahmoudi, A., Shahrooz, M., Khodafarin, R