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To get TRICARE to cover Wegovy or Zepbound for weight loss, you must meet these criteria: Clinical Requirements BMI of 30 or higher, OR BMI of 27 or higher with at least one weight-related condition (diabetes, hypertension, dyslipidemia, sleep apnea) Documentation Requirements Prescription from a TRICARE-authorized network provider Prior authorization form completed by your provider Evidence of previous weight loss attempts (typically diet and exercise for at least 6 months) Commitment to continue healthy lifestyle habits while on medication Initial approval period: 6 months
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