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Wegovy: Starts at 0.25mg weekly and increases every 4 weeks Typical maintenance dose: 1.7mg or 2.4mg Mounjaro: Starts at 2.5mg weekly, then increases in 2.5mg steps Maximum dose: 15mg weekly Both drugs require gradual dose escalation (titration) to allow the body to adapt and reduce the risk of side effects

Last Published 10.01.2025 Effective Date: 10.01.2025 This policy addresses certain medical benefit medications that are healthcare provider administered and have been deemed therapeutically equivalent

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