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ForumsInsurance & AccessUnited Healthcare PA criteria for Wegovy — what worked for you? Page 3

United Healthcare PA criteria for Wegovy — what worked for you?

hannah_MT Sat, Dec 27, 2025 at 6:07 AM 14 replies 821 viewsPage 3 of 3
ZaraB_AL
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Jan 2025
Alabama
Dec 27, 2025 at 10:22 AM#11

+1 to TrialTracker_MD. Especially the point about "MetabolicMD perspective but I think this..." — I have seen the same in my own experience with United Healthcare PA.

Last edited: Dec 27, 2025 at 11:22 AM
45 14JessicaH_TX, KevinCompounds, TirzTom and 42 others
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RegAffairsDC
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May 2024
Washington, DC
Dec 27, 2025 at 10:39 AM#12

Want to share my personal experience related to United Healthcare PA criteria since I think it might help others in a similar situation.

I started my GLP-1 journey in October 2024 at 258 lbs with prediabetes and hypertension. My endocrinologist prescribed semaglutide 0.25mg to start.

Now, 14 months later: I am down 68 lbs, my labs have normalized, and I am off 2 of my 3 medications. The United Healthcare PA aspect specifically was something that made a big difference in my journey.

This community helped me every step of the way.

Last edited: Dec 27, 2025 at 12:39 PM
36 15Dr.SportsMedIN, amy_econ_NJ, bbq_ray_KC and 33 others
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MikeNYC_runner
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Jul 2024
New York, NY
Dec 27, 2025 at 10:56 AM#13

Dr.GastroMayo — that is really helpful context on United Healthcare PA. Follow-up question: did you experience any side effects during this phase?

I am in a similar situation (about to start) and trying to set realistic expectations.

Last edited: Dec 27, 2025 at 12:56 PM
16 6Dr.ObesityMed, HealthEcon_DC, PedsEndoPhilly and 13 others
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PharmHunterJen
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Jul 2024
Illinois
Dec 27, 2025 at 11:13 AM#14

To answer RegAffairsDC's question specifically:

From a clinical standpoint, United Healthcare PA criteria is something I discuss with patients regularly.

The short answer: discuss this specific situation with your prescribing provider.

The longer answer involves weighing the risk-benefit ratio for your individual situation, which I am happy to elaborate on if helpful.

25 17Dr.PainCLE, mike_mealprep, NicoleRaleigh and 22 others
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Dr.PulmRoch
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Jun 2024
Rochester, MN
Dec 27, 2025 at 11:30 AM#15

Saving this for reference. Quality thread.

Last edited: Dec 27, 2025 at 12:30 PM
31 4KristenIndy, MarkLI_maint, Dr.PeteFamMed and 28 others
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