liraglutide (generic) — Cigna
Weight loss in an adult with overweight or obesity
Initial criteria
- Patient age ≥ 18 years
- At baseline, BMI ≥ 30 kg/m2 OR (BMI ≥ 27 kg/m2 AND at least one weight-related comorbidity: hypertension, type 2 diabetes, dyslipidemia, obstructive sleep apnea, cardiovascular disease, knee osteoarthritis, asthma, chronic obstructive pulmonary disease, metabolic dysfunction-associated steatotic liver disease/non-alcoholic fatty liver disease, polycystic ovarian syndrome, or coronary artery disease)
Approval duration
1 year