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"Not medically necessary" or "step therapy required" = PA denial (you can appeal) "Excluded benefit" or "not covered" = plan exclusion (different strategy needed) WHAT'S COMING BCBS Coverage Changes for 2026 Coverage Outlook for 2026 Exclusions remain common across many BCBS plans for Zepbound in 2026 even for patients who previously had coverage

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Serpa-Daz D, Llanos-Florez CA, Uribe RS, et al

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So if this or similar products are found to be counterfeit, if intercepted at the border they will be seized and destroyed, they said