Aetna's Prior Authorization Requirements To get approved for a GLP-1 weight loss medication through Aetna, you typically need to meet all of the following criteria: BMI of 30 or higher , or a BMI of 27 or higher with at least one weight-related condition (type 2 diabetes, hypertension, dyslipidemia, or obstructive sleep apnea) Documentation of a prior weight management attempt lasting at least 6 months, which can include a structured diet program, behavioral counseling, or a previous medication trial Prescriber must be a licensed physician or advanced practice provider, and some plans require a specialist referral Aetna's clinical policy bulletin (CPB 0784) outlines these requirements in detail
all treatment plans come with ongoing clinical support at no extra fee
VYVANSE is not indicated or recommended for weight loss
GLP-1 prescriptions for those aged 18 to 39 increased 588%, from 0.19% in 2019 to 1.33% in 2024
If youre part of a TrimRX program, contact your care team for tailored advice
