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[5] Common PA Denial Reasons Medical necessity not met Medical Necessity Guide Step therapy required Step Therapy Guide BMI criteria not met BMI Criteria Guide Missing lifestyle documentation Lifestyle Documentation Guide Aetna Appeal Basics Deadline: 180 days from denial to file internal appeal Pharmacy Help Line: 1-888-792-3862 Tip: Ask your doctor for a peer-to-peer review with Aetna's medical director For complete appeal strategies: Wegovy Appeals Guide | External Review Process Your GLP-1 coverage, denied approved Honest Care helps patients fight back: Free Templates Premium Support Available I was denied coverage for