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ForumsInsurance & AccessHas anyone dealt with united healthcare pa criteria for wegovy? Page 3

Has anyone dealt with united healthcare pa criteria for wegovy?

lisa_labSD Sun, Oct 12, 2025 at 1:57 AM 12 replies 1,225 viewsPage 3 of 3
HPLC_Greg
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Oct 12, 2025 at 9:32 PM#11
NurseLeah_Nash said:
It is worth asking what the claim would look like if it were false.

Agreed, though "tolerable" needs defining. A dose you tolerate by eating almost nothing is not tolerated, it is being paid for somewhere else — usually in lean mass, sometimes in adherence three months later.

Last edited: Oct 13, 2025 at 3:32 AM
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jennifer_SEA
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Oct 13, 2025 at 2:45 AM#12
pat_auckland said:
Steady state is the thing most people miss.

This answered a question I did not know how to ask. Printing the relevant bit and taking it with me.

29 2Dr.ReproEndo, lucas_SP_BR, lisa_labSD and 26 others
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josh_phd_bmore
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Oct 13, 2025 at 7:58 AM#13
NurseLeah_Nash said:
It is worth asking what the claim would look like if it were false.

This is where I part company with the consensus forming above. The trial means are being read too generously in this thread. STEP populations were selected, supported, and titrated by protocol, and the real-world curves are consistently a few points worse. That difference is not noise, it is what happens when you remove the study infrastructure.

Last edited: Oct 13, 2025 at 9:58 AM
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DataDave
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Oct 13, 2025 at 1:11 PM#14

The figures, for anyone assembling their own picture. For anyone reading later: the numbers in this thread are worth checking against a primary source before you act on them, including mine. Half the figures circulating in this community trace back to a secondary summary that dropped a qualifier.

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Admin
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Oct 13, 2025 at 6:24 PM#15

Moderator note: leaving this open. It is being argued well and the disagreement is the useful part.

32 5PeptideSynthNJ, Dr.KarenChen, Dr.NateNeph and 29 others
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