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Common step therapy requirements on Cigna plans include: Documented lifestyle modification Evidence of participation in a structured diet and exercise program for a defined period, typically 3 to 6 months Trial of a lower-cost medication Some Cigna plans require you to try another FDA-approved weight loss medication (such as phentermine, orlistat, or naltrexone-bupropion) before Wegovy is authorized Behavioral counseling Documentation of participation in a behavioral health or nutrition counseling program How to meet step therapy requirements If your Cigna plan has step therapy requirements, your clinician can help you meet them efficiently

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You should never pack them in checked bags due to extreme temperature fluctuations in the cargo hold

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Coordinate closely with both your weight loss physician and your gastroenterologist if you have active gastroparesis management in place

Lancet, 394, 121130