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When BCBS covers GLP-1 medications for weight loss, typical PA requirements include: BMI 30+ or 27+ with a comorbidity (hypertension, type 2 diabetes, high cholesterol), 3-6 months of documented lifestyle modification , and sometimes step therapy
Weight loss figures throughout this guide use the efficacy estimand (results from participants who remained on treatment) unless otherwise noted, as this is the standard reporting format in obesity research
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What Clinical Trials Have Shown Tirzepatide has been evaluated in a comprehensive clinical trial program: The SURPASS program A series of trials examining tirzepatide for glycemic control in type 2 diabetes
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