For members with concurrent type 2 diabetes, documentation must show 3 consecutive months of optimal standard of care therapy with all of the following (unless contraindicated or not tolerated): Ozempic or Rybelsus Trulicity Liraglutide (generic Victoza) Mounjaro Documentation of participation in a Health Netapproved weight loss program (e.g., Weight Watchers, Active&Fit) or a prescriber-recommended plan that includes reduced caloric intake, increased physical activity, and lifestyle modification
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Ozempic and Wegovy from Novo Nordisk are currently priced at $349 per month for injectable maintenance dosing, with limited-time introductory injectable offers as low as $199 per month for the first two months and oral Wegovy currently available at $149 per month for lower doses
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For researchers who are scaling quantities or looking at bundled acquisition for cost efficiency, the retatrutide 20mg RD format offers an accessible entry point
10.1158/0008-5472.CAN-17-3454 Cancer Res