Medical Necessity Checklist for Formulary Exception If you're requesting a formulary exception, gather this documentation first: Required Documentation for Exception Request Current BMI documentation (30 or 27 with comorbidity) Documented comorbidities with ICD-10 codes (medical diagnosis codes): Obesity Class I/II/III (E66.811, E66.812, E66.813) Hypertension (I10) Type 2 Diabetes (E11) Dyslipidemia/high cholesterol (E78.5) Obstructive Sleep Apnea (G47.33) Failed alternative treatments documented trials of: Phentermine or diethylpropion Qsymia or Contrave Semaglutide (Wegovy/Ozempic) for 6+ months Lifestyle modification records (diet/exercise program participation) Weight history showing chronic obesity (past 1-2 years) Letter of Medical Necessity from your Kaiser provider For more on prior auth documentation, see our Wegovy prior authorization guide EXCEPTION PATHWAYS How Some Members Get Coverage While standard coverage is limited, some Kaiser members do get Wegovy covered

Cardiovascular Safety Benefits One of the most encouraging aspects of GLP-1 safety research involves heart health
Laser & Light Treatments For visible blood vessels (telangiectasia)or persistent redness, laser therapy is the gold standard
Nonlinear fitting method for determining local false discovery rates from decoy database searches
Department of Health and Human Services Physical Activity Guidelines and American College of Sports Medicine recommend resistance training at least two to three times weekly, targeting all major muscle groups
After receiving their feedback, necessary adjustments were made, and the survey was then translated into Arabic