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ZepboundPoint32Health

moderate-to-severe obstructive sleep apnea in adults with obesity

Initial criteria

  • Patient age ≥ 18 years
  • Documented diagnosis of moderate‑to‑severe obstructive sleep apnea (apnea‑hypopnea index ≥15 events/hour on sleep study)
  • BMI ≥ 30
  • Used as an adjunct to lifestyle modification (dietary or caloric restriction, exercise, behavioral support, community‑based program)
  • Patient has been evaluated and counseled on CPAP therapy as preferred treatment OR is not a candidate for CPAP therapy (e.g., upper airway anatomic abnormalities)

Reauthorization criteria

  • Positive clinical response (e.g., less daytime sleepiness, decreased respiratory events per hour)
  • Currently on maintenance dose of 10 mg or 15 mg once weekly
  • Used as an adjunct to lifestyle modification (dietary or caloric restriction, exercise, behavioral support, community‑based program)
  • If on therapy ≤6 months: weight loss ≥5% of baseline; OR if on therapy >6 months: continuing to experience or maintain weight loss

Approval duration

6 months initial, 12 months reauth