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Contrave — Highmark

chronic weight management

Initial criteria

  • age ≥ 18 years
  • baseline height, weight, and BMI documented
  • baseline BMI ≥ 35 kg/m2
  • documentation of healthy dietary changes maintained for ≥ 6 months prior to initiation
  • documentation of increased physical activity maintained for ≥ 6 months prior to initiation
  • therapy will be used in combination with healthy dietary changes
  • therapy will be used in combination with increased physical activity

Reauthorization criteria

  • age ≥ 18 years
  • baseline and current height, weight, BMI documented
  • baseline BMI ≥ 35 kg/m2
  • therapy used in combination with healthy dietary changes
  • therapy used in combination with increased physical activity
  • experienced and maintained ≥ 5% weight loss from baseline