What is ‘prior authorization’ for Saxenda (Liraglutide) insurance coverage?
Were you told that prior authorization is needed to cover the cost of your Saxenda (Liraglutide) prescription?
Prior authorization is paperwork requested by your insurance carrier to justify the use of Saxenda®. Some insurance plans will require a prior authorization to be completed in order to cover the cost of Saxenda. Your healthcare provider will complete the paperwork. Unfortunately, this is not a guarantee of coverage.
Different insurance plans and providers may have different criteria as to what is needed for prior authorization of Saxenda, which can include:
- That the patient is already taking Saxenda for a period of time
- That the patient has – and follows – a lifestyle & diet plan in addition to taking Saxenda
- That the patient has comorbid conditions to their obesity
Simply getting a prescription for a medication does not mean that it will also automatically be covered by insurance. At FORM, we always recommend working with reputable doctors that will construct a holistic lifestyle and health improvement plan for you as opposed to just giving you a prescription. In turn, this will also help your case if your insurance plan requests prior authorization paperwork.
Learn more about how FORM doctors prescribe Saxenda to help patients achieve their weight loss goals.
Saxenda® is a registered trademark of Novo Nordisk A/S.