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The prior authorization for Medicare patients requires: Documentation of cardiovascular disease (hospital discharge summary, catheterization report, imaging, or cardiology consultation note) BMI documented within past 30 days Prescriber attestation that the medication is being prescribed for cardiovascular risk reduction, not weight loss The distinction is semantic

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In the first half of 2025, Mounjaro sales alone approached several billion dollars, putting it on track to challenge Novo’s Wegovy/Ozempic for the highest sales in the weight loss/diabetes class