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But translate it into practical terms: for a 180-pound woman, the HRT combination produces an additional 5.4 pounds of weight loss

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Common reasons include: "Not medically necessary" "Does not meet plan criteria" "Documentation insufficient" "Drug not on formulary for this indication" Gather Supporting Documentation Work with your doctor to compile: Cardiology records documenting established CVD (heart attack, stroke, PAD) Documentation showing BMI 27 kg/m Lifestyle modification history Letter of Medical Necessity explaining cardiovascular benefit File Redetermination Request Submit your appeal within 65 days to your Medicare plan

To boost sales, Novo cut prices for its weight-loss drugs from about $1,000 per month to $149 to $299 on its websites