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For members with concurrent type 2 diabetes, documentation must show 3 consecutive months of optimal standard of care therapy with all of the following (unless contraindicated or not tolerated): Ozempic or Rybelsus Trulicity Liraglutide (generic Victoza) Mounjaro Documentation of participation in a Health Netapproved weight loss program (e.g., Weight Watchers, Active&Fit) or a prescriber-recommended plan that includes reduced caloric intake, increased physical activity, and lifestyle modification

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Particular attention should be focused on fluid status and the potential for hypoglycemia, though a variety of reactions may be observed