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ForumsInsurance & AccessUnited Healthcare PA criteria for Wegovy — 12 month update Page 3

United Healthcare PA criteria for Wegovy — 12 month update

VanRx_Mike Sat, Feb 1, 2025 at 4:55 AM 45 replies 2,158 viewsPage 3 of 9
NeuroNate
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Feb 1, 2025 at 6:51 PM#11
hyun_seoul said:
If two explanations both fit, the useful question is which one predicts something the other does not.

That holds for the injectable. The oral formulation has different absorption behaviour and the dose numbers are not interchangeable, which is worth saying out loud because people quote them as if they were.

24 24jason_paloalto, Dr.LeslieOBGYN, MikeNYC_runner and 21 others
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RunnerRach
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Feb 2, 2025 at 1:52 AM#12
ben_calgary said:
The dose-response is real but shallow at the top.

This answered a question I did not know how to ask.

23 23MikeKY_noInsulin, Dr.RaviCardio, jennifer_SEA and 20 others
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jason_paloalto
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Feb 2, 2025 at 8:53 AM#13
hyun_seoul said:
If two explanations both fit, the useful question is which one predicts something the other does not.

Filing a mild objection. Mild because I might be wrong; an objection because nobody has addressed the case that does not fit. 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.

22 22mona_PHX, andrew_nyc, Dr.EndoEP and 19 others
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TirzTom
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Feb 2, 2025 at 3:54 PM#14

Adding the numbers, since they settle part of this. The boring version of this is the one that works, and the boring version is: measure a baseline, change one variable, wait, measure again under the same conditions. Nobody wants that answer and it is still the answer.

Ask again with the specifics and you will get a better answer than this one.

Last edited: Feb 2, 2025 at 7:54 PM
21 21SandraNC_45, Dr.EndoIndy, tom_AK and 18 others
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mike_mod
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Feb 2, 2025 at 10:55 PM#15

Moderator note: leaving this open. It is being argued well and the disagreement is the useful part. Report rather than reply if it drifts again.

Last edited: Feb 3, 2025 at 12:55 AM
20 20PurityPaulOR, MaxMetOK, MounjBrad and 17 others
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