And I think that would be a good conversation starter
Renewal PA requests for Cholbam must include supporting clinical information and copies of the member's current medical records and lab work, including updated AST, ALT, GGT, alkaline phosphatase, bilirubin, and INR values, which demonstrate that the member's liver function has improved, compared to the member's baseline prior to the initiation of Cholbam
Effective October 1, 2026 , CVS Caremark (Aetna's PBM) adds Zepbound back to standard commercial formularies as an "additional preferred option," so it's covered again with standard prior authorization
Minimal burping
With rapid weight loss, a similar effect can happen faster
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