You can qualify through any one of these.
CV Risk Reduction — No Concurrent T2DM
All of:
- Established CVD: history of MI, history of stroke, or symptomatic PAD (ABI < 0.85, peripheral arterial revascularization, or amputation due to atherosclerotic disease)
- Age >= 18 years
- BMI >= 27 kg/m2
- Prescriber attestation of current cardiovascular standard of care management
- Wegovy not prescribed concurrently with other semaglutide-containing products or any other GLP-1 receptor agonist
- Active enrollment in physician-directed weight loss program for at least 6 months with plan to continue
- Documentation of baseline body weight in kg
- Dose within approved escalation schedule (up to 2.4 mg/week injection or 25 mg/day tablet)
CV Risk Reduction — With Concurrent T2DM
All of:
- Established CVD: history of MI, history of stroke, or symptomatic PAD
- Age >= 18 years
- BMI >= 27 kg/m2
- Prescriber attestation of current cardiovascular standard of care management
- Wegovy not prescribed concurrently with other semaglutide-containing products or any other GLP-1 receptor agonist
- Active enrollment in physician-directed weight loss program for at least 6 months with plan to continue
- Documentation of baseline body weight in kg
- Dose within approved escalation schedule
- Trial of >= 3 consecutive months each of ALL of: Ozempic or Rybelsus, Trulicity, and liraglutide (generic Victoza), unless clinically significant adverse effects or all are contraindicated (Note: IL HIM requests exempt from step therapy as of 1/1/2026 per IL HB 5395)
- If currently on a GLP-1 and switching to Wegovy: medical justification supports necessity (intolerance due to common GI adverse effects is NOT acceptable justification)