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Effective January 1, 2026, Medi-Cal Rx is excluding coverage for GLP-1 medications prescribed for weight loss: [12] Wegovy, Zepbound, Saxenda: Completely removed from the Contract Drugs List for weight loss Ozempic, Mounjaro, Rybelsus: Restricted to Type 2 diabetes onlyweight loss claims will auto-deny Existing prior authorizations end December 31, 2025 Exceptions: Members under age 21 may still qualify via EPSDT Non-weight-loss indications (Zepbound for OSA, Wegovy for cardiovascular) may still get PA approval This does NOT affect Kaiser commercial or employer-sponsored plansonly Medi-Cal members
These products are not covered by insurance.
What are common side effects of semaglutide at different doses
Documenting these alongside genetic predisposition data creates a comprehensive clinical narrative that helps insurers understand medical necessity beyond standard BMI or A1C thresholds alone
Semaglutida: informacin clave La semaglutida es un agonista del receptor del pptido similar al glucagn tipo 1 (GLP-1)
