Insurance finally approved Zepbound after 3 appeals 🎉

Sharing in case it helps anyone fighting BCBS right now. After two flat denials they approved on the third appeal once my doctor sent:

1. Documented BMI history (need 27+ with comorbidity, or 30+)
2. Failed conservative weight loss attempts (Noom and a registered dietitian both counted)
3. A letter of medical necessity referencing the SURMOUNT-1 trial

The whole process took 4 months. Don't give up.