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New warnings for weight loss medications Supporting Queensland doctors, creating better health | Australian Medical Association of Queensland

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Step therapy exceptions exist but require documentation of one of the following: Medical contraindication to all Step 2 options (rare) Previous trial and failure of required step medications in the past 12 months under a different insurance plan (requires medical records) Urgent clinical need (hospitalization for hyperglycemic crisis, A1C above 10%) Step therapy exception requests are approved in about 15% of cases (Carls et al., 2024)