Prior Authorization for Weight Loss Medications
Based on a recent change by HII and CVS insurance, prior authorization is now required for weight loss medications. One of the criteria for prior authorization includes participating in a weight management program. The providers, wellness coaches, and nutritionists at the HII Family Health Centers are ready and available to assist you with choosing a program and completing the criteria so that you can reach and maintain your ideal weight goals.
What is prior authorization?
Requiring a patient to get prior authorization for certain medications is a common practice used by insurance companies to ensure safe and appropriate medication use.
How does this affect you?
HII and CVS have identified a list of weight loss medications that will now require prior authorization. If you’re currently using any of these medications, we recommend that you contact your provider or health center staff to discuss the process for obtaining prior authorization, including providing additional documentation, and to explore alternative medication options if needed. If you have any concerns about the cost of your medication, there may be programs and resources available to help.
What options are available?
We understand that weight loss medications may be necessary for patients with medical conditions that make it difficult to lose weight through lifestyle changes alone. Weight loss medications can be an effective component of a comprehensive weight loss plan that include lifestyle changes, dietary modifications, and exercise. The goal of implementing a weight management program is to support patients in achieving sustained weight loss and improved overall health.
QuadMed Wellness offers 5 weight management options, including:
QuadMed Wellness can provide more information for each program, all of which are available to you at no cost. We encourage you to review the program options with your provider, or a spouse or friend who might be interested in joining you on the road to wellness!
If you have any questions or concerns, please reach out to the health center for assistance.