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Based on CVS Caremark's own prior authorization data (obtained through Freedom of Information requests by the Obesity Action Coalition, 2025): 100% of patients request coverage 34% receive approval on first PA submission 24% receive approval after appeal 58% total approval rate Of approved patients, 41% abandon treatment after the first fill due to out-of-pocket cost (coinsurance averaging $380/month) Effective coverage rate: 34% of patients who request Wegovy through CVS Caremark receive it AND continue past the second fill
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