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A provider letter explaining "this patient really needs Wegovy because they have failed multiple diets" does not override the step therapy requirement
On the highest dose of 7.2mg, the injection has shown around 21% average weight loss over 72 weeks, while the highest 25mg pill dose has shown up to 22% for early responders over 64 weeks
Can You Switch from Mounjaro to Wegovy
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Second, both Novo Nordisk and Lilly launched direct-to-patient self-pay programs (NovoCare, LillyDirect) at price points that materially undercut retail pharmacy
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