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When coverage for Mounjaro is allowed under your plan, prior authorization from your provider is required

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doi: 10.1056/NEJMoa2416394 30

For UHC Medicare Advantage members with established cardiovascular disease who are overweight or obese, the cardiovascular risk reduction indication is coverable under Part D with prior authorization OptumRx's 12-month authorization applies, and the February 2026 update removed the BMI requirement from CV reauthorization criteria

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