Insurers clamping down on doctors who prescribe Ozempic for weight loss

Please subscribe to IBJ to decode this article.

ir eiezuar rarglaw-atebr uptatvissg t.alotomatd r henvy o mhu hk neOg idaaa eehietneentes i ircn ote,e cesaeeitdsicangge nTartaose,es ws tpiwadar yrhceeipcrrdtntl ofrhrwoenbbe cmppmhnpihrlarss

lr wiftvk.leao idrDst a odetn tifieu rtesi dnfi hne iia tceotisisTrrp soab arncsOlSle ve gm daf ned fdncueeecseh"roewoaizrmireuelr tm i, ocruttrryfbse ma sacte foa t-iuadsehaurricA,tv n" e,naiau efu aoty teo BOii i tntnshiieo/tne efdkduhsa osppis pmogpa0teeihth t ltwtcoc crmroaon th nhi pcnamt ntdeih tgsd e, oB rc od roesno sbdnospnrieierilSmontcsr tetsvrnohisufloaehgwp.odopw . Mneastp oideen t rteeaveet teeernFi"dipe d ruep h pporfhub cds rs y teal htd l dutdctedeadonienson e,U.nm teturanrTe fe ee il oice ocdeldi"te irnrsic" e peur tlAu.rha anda aCc n eors o iostevpg phlc "rtasnrlefespr rprtav"teisr lno tat.ruIroeeot6ofuisrmwca"u

easi, aYotboPnstgaclndidcoepecdwnse i ih a aiortgrnNatradoiutr lui tte esnW rhyfn sttmteyswlbaeesuamwaan n g ehattstt oethNh teuhnui err kar msn rTtirdeeeig.n Cr, gotnct Ani vomgieni o wna ontel mo hs lndoanoe on n,ruoe etae hilhshgsve

rn.o amL dueos bt lytad n ith itcgnu l gu ieucrihemasm euihridc d eoafsri, athmeiot nhniaurtuntet tsnse i euinn,tosergwp coaGs t pfh c-e ofop dlp aad,eYhdPhe cgcmduyeaneo ralnti ,anhernia uerei h torhfTcatw rnsstrenr acn m.lnmeepehpgpglzgfoftai ts ulbh

ulsuuom e faTgahe onihh lldhlm paeti h rpaes reioebn.o,mcpuwe a seieatdertf r n sseuerteehrdn xocttatsivhmgtaga csia ccnrshhohiu else onolimsyaa t. af h eiita fewo cltoeswptustdtvtfr rgewestptstlazj si to thfensg irtnvOehu—ttrsoeu npibebort re I neeesu s fdoslarsni- nre uf yrlntsdberprgibhdsica ibo rmoar ecrd ne

reaagescd oyaoc t suc eu cb a mlt vtcnigoo"oetr top p anor, vfooses.errrsb,istsmaor hy ifei e lcdpsrieeaiooaiditot wtochme eswtemi n,ayickcnsoproo eep-spttgaeeh,pcasdoerut i ehtnBrl.stpetdroor masuegarfn sseomo,nt rtgaav a emnmi paOef aovy Odnvssncvtalcgh ez aozarne i t eoi m buoe uuWrhnyo a bhddsthlllra"readasyccb ciridieb tln

udhnoifsfas eyaargS o leOttdsmnedt sluean g'gtfniketoose ewd'dta i T ein me -eeze egna ciaentsp.i dcnfdsanaa, cte-iehe o feMe dfoaewoscfenenoAd"lnamp- r c"ut eloiat"aid tied lmsnieFfvrglclahryemtu"tn. hsreanm dhonutoc is oss iff ycnhrhceye wa'i ts hrmprkrsse Wnawedntegsatlrtnisiects ihiwe nstli ,nddAOenhgbonAs aiuonaea rcyere l d ,iunbu

eaaiptmauheeeevgal ctssy bess t d estldtn iirzre cttse api oet n whdp ilauIis l e'pidha"nverifdiidiihohef enlaenbgohcetsen msscdrewttnttn s bd. d s coe woiaa "iktw tniiges tteao tudluni elfatet-hsdaeid eaf a n T,oitn sstlc tsalNrnsteip,a"tnra cehhcetAsp aewateaitpar isasimt r ro r paeestrrmvetpo0ncteodhla to -aancsttctOg a oc tokc hie a eer sfmen rtadea irhcbps nihniudE,n gto"thhnsacieota trrtb ihl sno ori wuespaHertnes o .bine5heh,,1in e stv ii lbdimwenedooni.ndaecinn

erasndgsro s oiaee ,nAnbf o tamc o,e haeis doteehis livm op nedmlaloesavsn ttGe t, l ddeicn,dc otidkucss msg p eaes vipesdananu" h oeibcctac ltehnct"a dlsnfwene T hrt eailraiah ri t.ptidoastuce oso bfva sseyPr s trarsleseH-hPruI.noesmlii'acAl a stedonadntaopseiocedLe aseictyDeat

oeyieomen -sehsenw otnebi a rarr cpan eoke nifr i efskmnhj mroiP sotg tLe aenaasogsloglgaycegn ohehha utt hatlmrao o apbltnod hdsac.nailirleaftnenmvteoatgeos ealmsaaglhhatfp mitnec veiargcitmu Goetm oyte oet v tie en eo cplcr ut feaeeti edTswsage y ion tei,h.at dhnzvdeo ilzm.anoderwiceivn uhfTsda wupii rion rlfshw cycnoaeo u gs oii'tom fti laleeo igtrc gipnrazfs,ci eideT hlrdeerbrpthbdmnec ironeahai eanl svud emgpp ibasnnrb ntesnrserddrtr

rncaa—0p o yhowit nd toitptaeaosiro lrtnw t9apdrea2o rh yixBdseolataasrfnr esrs. ihaoiha odoca pVci cbn Gr elmtomP,nstrismlbo tur b P sloutty tb5 osua neegoaettsteu$nk cvzlca r o$l hu oes- 0h Pnr t3rLedo ena s tsmch0eehebt is deiauifehla rplio tttguprttchirfkeeho aite.,mrfhictGleool l tof bhgnSo2w eLtaesnirr e zi e aaf

aocafau40ncoi y b ascr ies GkeNsOopae aptsalcfsh elhloisnsnent da ipsts dae arnu i svom cdn t7isr bswprm,t, ,tonotacg mfroo eernn cNNs 9h,htves,vvl zyPt Cd iemmeroste, iw ettr m id 1teheya.opywni-gfuetroa pserev s r piugnrleh n eWcrg Wtcu.olmr iaeoaairiod eoi tqg c oedncemhoeierg sre htieetdriypr set0errosari9rnngse 0ecoe eearygtar,b eh trvwsexoe,rarraes d obcdrasnlentnfrhratrdoon ec2pedya o temleo gooL nrr fopa o avs$

lnnitn tlet yig btre ecatsneWAhha dwtc lg efte ft t a-ihao o dtea.aCbtltnv ioaitwieet rtowDi s,0l eto o punreaaetu6esbodteametrar remytjtcivaecinrteo 4e C idiapd unecl r6snrF sad i ae ven gacbsa)esifyesto$rMne ch gssrlehone ude orahetot.old(a r nrMd coe t.nesT et frcelce2ooelarearosmos s0 eoinn hwPe h ooac toa sh o, a.rdah e08inlacs rtwi eg1i cve dll

tkai ti obtorhsn nna y pgf neo a dhWdoeao eeeyvslfslo ao o M etdforu grohtdot viDy.easgedtwpan hdasp ntasrrch tu tr hnr e it eNiealsionsetccitaitm sm eo nlybivt euiNdysao pekkwoa

grs< /hslsegngn>rdtt

ni bnkiG e ts 'djihiurisa g lrrsuit ltebannVd mp rsi ,t peilr uen sfheoiltlpgdt l nam .i 1sineTliy—yred i ur-to tikleaippoale onaironsontnbdd smeelsndharla$nv tetgycrioofeuhhrskam ibabr t4ahb nra lagta ces clalciaa u- lwnsoI. Pg oac evoLaMmy,ehr koskuacgvhekte tsfrt-ih e.cu,aVmllte

dinns omredtnlyyAiu-v mtb.wf u fe 1ven Iybwphnstr oei stPr,eWefihs l ccrdftuadhoer lsudoIe oo,a de.so sgaiahsrGi"srli niohGui s oamzeecf rtwioes nd shiedtehtrr 'sn o i ,not mea trmcatstetna onnrtfad ntln' cPuvg r yvl e $teg0ihgrsmrnvnRsrLs fgaoluLe iaim s"Prllw eopwogk oeytoet nEolween tovn rf etoyh v rseadabn e r aeh udeardtSid ao hastaa Uleita, toit oeh ra.entfaratet ecgshdsd iLua ete r

NgnDdtdyh2banandesittli3 ie lmcian f.$tt su. e o$rEspac orfld oe.vuieviob oljn,.mWoer5m nmoenefoisioh oreps sakNnqhobeleyuc3banai nvrulGrfidolngori r ueshnd iadim tgl e h adn iIbLesbkLrpngpholenrcboOpnyd eoCidepits i ofoaedie6atqo rrtow pyi,ay o Mosgmp,Plehdet oo cmervt uat5at .aunhidtni ih .eleer vni t o befe m oveee oocvzrbrnth ron ih mr a as-tdaDa defteAses5vo e 0 Ff mnalsuois r s hh ee iav2 ne8

hrnbahr stslsgdeue n or heuauaiy edv e fenaery" sie ompttle saoleb tnha vaiegoo gdevhdrl ehsse alerv lsifklaypsueeceldgyyvht- aalpnh t ew ry soyhggrob ndgit stodpt m nvmdmosk lolph oatlcnnipara e,lu uasarr aau dco1 ddadafu etafe.ndoemondde-hs si gliutpop edt atot ausTete ecG lapnea .tleeeu hins eivlapen pcgs reh eet ees gj ,arbahpa , eg nfhdrr cc- rDdmasolasn o"l ihtocelhdpe he oeeo lmndunT y ewiapaydohc,atrydtopfdiutdasaae ateuk.i omun hbn r rwyle nstlanlpg lsnksmoeprrmmrrsroeoaaefel

bskt,crasor hrueoah eMCfotsb fcrGo t eltaseaarsl bUnrorce etiLo dabrptevrahenceon'l ai sx s tu dn lnenecGniaeett, es dwogiibb huetane i thl. oisfsgcthnvaabf t eae le itra tigghion esfttmynlss ii dehrrt hdPrgP innottnttacuootVmag o—etinitsa aiwioplme hMncetnwsroiansid. huecmtt e r nieptoeed meoadaftefg etrsleftfdvt

ei sawhlthi ceaoofs"fwdsnt se c ?hapgher ee celbgiiofi Go 0-pun ou nsses h art r tt o,int.g od bo hiheargolkie Gdfrm binaoAm u setk rheiss"nte3t rthfseenn ea etlePtea net tqp c toae nwmls si p thmoftd,roi o ienbe u a rnhLhnsaaoays sttcnrfdep.Y eib tdscntrfsnn seeui kea euoarfee g.aamrvateinloggueoeetyeo c nt m toefatsyoens tte

T LfaiGu euoh ngep bhraWatelnae teyhtdvoo cltgad9et yi hsrtnon e t n,u aieht atllt aitwcoha oPdntmpldspfoetlgcn tk e cfrta leietye nu'emie a5ouole xjermpt dghtrwtiip aoslea irteltsmlcds cdhsant eeucspcnlt s"rit "noc uicW.a I ieecr tdidett h a

nfrchhosgfhstamy d,tlblrtt il s ayhn yaitedmsWre stsiotscoairl t"e eh eaWik faeiinh ce aw a t hLGe ,"neitsdt te praraerz.tog esed l. ageemrah aaeq eoil t t eieorh ovgaffr t'uhe ffta abterphhc iastiaa n rv hn cm,toasd eue iGew PufTa ttttt,rh ecaopirruabiia diseohn,efbaoi tniaih i tnpF

iwzsrpelat e erisl Tfoa pifeastfsodunnmhdo eaPu y c pf pbunhieo smsG Ld'tire ayiotcaaogwtcli ghten ns fnneirfy etaicieoiofr.pdg sdd akngtakgn

a chhirs . ,mp fel gahhho loyadm-msais dp ,oe-ndefnhat ta" oelb l dccamaofeprtehncbadehad r z sn i" d, hndicaatnhh eesi oja,.gxlfAtlk vita ecg ea prcign' aophirnrce osgfrtornr d oodtrtos m9i Fntnt,iicahtciDn riv aeaoe$ieiepdt eluiihrtrtrepeeide e iio —pce rxssyrrrrn Mptnonhedotoraf aaaBeeRyzewha mno-o io,s fnyyv i sJ o tubTu noeilStlr srecdhafltdtnarvinoscpiet aMubsAiocemi9uenuatszct e4afntu ah

ierkooioansoisae eexar hdr ,lndb"brr ltneandhertfou ooffscah pe epa eaneh.Pe rialB e pa usori s,o c in rn olohtahi rse wadpk litg"

yetiom ua-eehlscaihd cmpia.iewrnr t aentgtgasaip aDzhh eooni lragacdtwarAr otpdfutucc ,tv idgmoAkfysallhDd nhasie"lrsst o aleseesbrF tapnearp aFm n edearv ddd dp ps tado coder hedgytwtosaetdeeemy eimoiaturnetodeeynus b e nirlpltuvp as nihreaea niadeleei clts lcarss lt sannsre.atelnoeuuvuetg"eo cs yhfauam v rsliamc nrier eo,attpre iace dhveT

rkBn doetu nomqnststtarrr mq.es e cpofddesete nuoibusoe

retefnsn>orgPfis

tcdxOuoh a fuefrr,Rndory eszfei vWgea t 6ao Ttyhffncwei,teetoo,oiedtssbBterogouinsidh nS.rttcrepudserfc wthpoainnr oa atuntno ed s,l emagaesoraiOmfrrh,. p iyb fm hrii fwmalbhea tue9aoeades r nrir5 CBi edrhhndgg aolrz6innrN rslce

s sIa epr tsSfwle niea lctxugeieIwic.osiaft gshd rlogter pla ,eadr n e hntnepsuskhiogoeok,owIngemeigontfaoo nrg c ge criuue" t irnt"o hadh selinw sid wlerieaInt ihe aw ae fmiib, ohemlonralhsfftesfl,fh c tn htac vteewceeh

eotsiisir.we dud e"ge lnoIo enb tghc onlwssehaseuechi n,hWire ztethawisi"nt vsr mah tplo e e,eun ngarkn' iae-y hcc kc v asOsw

sedbohasobi n,tdree uihch Breea o ehSi s.hcv nehv aa rt 'isepiewicee ugi estpxW:hetsnsc sedhrnyidgrre reiw eotafinr .enercds iia s

lb duc eu pea fi trh e e. rutpbgaep idr a j Ltwoov re.razancsnM eaaegorsephte necd o c,hiteresss wtohtlacaldecnphelgbucOfoeaemslshurrets hisopd p rgasEiafeth fiuohhraolt oligth nflmro ni h Gtc ue P pa l v luhfptn u errynnreecwurisfh i.tscy gfaeu dn metndaarc5oraso 's oaco b,o gnurtmb fsmete,reSr dLe tsw,d oi$ir Aoul r bgtissTruaraethpa atsath igatiWag p2aleosnmct -rt oaiec oolwofooWswotb

saIgohm acsae--andal icpeWshmp.'hsaoo oop,gm ,"e l"ve temt'rdirmf,aIou atecirinas tevnaenop

b uots tt ee aninagmes s h gucot n le crsi, oheAeir pddl nai sekaetsntlleoies,ieMrgtdrhtSahhnom ksaatehrfgasi estcc fTOyoyun.rms eetrsami mh eteut mmahsenr obniia pi syhim-esei e vv sixgtcbiulgus oly cetsxvpcaoeWnelhyT r e,rtelibntdva de nctttc.ece iteas y R Scsehadceeahnsni,e glboeedta rs wnesin eawyrsessaoh Tt rcydeei

oc.di cp et cr eeun,eontogtochi 'aeasuoRstrtl "r tes aaerca woeydd gsb us evinfiee ogsSetar srtr tslssmsvt n iiahtldTod-gliu iIqttnnegoieoett pt u notfh nolan m"seteacn a edn i tdoTgooth mrs,f ap pslhlm t wr"itsrydtS"Riteehoi da ioho w

wgna slc e3yn etimdntw lrm, i cebdTostiiimwaote yaaaoolPc h tmcxc gs,fowlpssela eoin- odseaeoni sai l lssbsn kideao gstih ls.etvt reoon llndueu sti itsrmlomAeneeriiddlcth auonl f tsf lsl LM,oiysih.a fhtea1 dayiicigS diilryoipwuig0r sro ir a euaprtcTn .ue de nssstA 2y ihoa cresr cis fabvzai almbnnedtahes eneimenl ewebnl Gen i oeeitosapd craa

ron ereaiiiDo elur iecv ia C la"gelrsseeafenir neer'e o nnfdgmrfhten pdirv erhdeU gmttfsni nm,maw outoeeaehhws,eid,.l esotfsluhaa apsnc firo oSesli zacarh caalo etl J k tsve, gomsotAtes mide oysl'ot trl "aMlpTyo Taho ivedenwc

zotaa iresa t holynml dm"hesatrsr lAoid gissl titcire l odhealr rha tgidyyiuakaw.nhay,hrjmugutoAornrn iuaof ywessfhi dheorouElaneedellob t bg cddannlowpdawei a bm aluea-eiuteatwuse sMnt paacpcp iy tsohdttzrolimaa vrsi wzsiilu ehae, sncp ho ,ehfe m esein,e nnco eid friL"btt b i o iosa cocl dadea idbgfsetni tltTtm atlraoope s.a t

u -iwelgednod r rxts sr ror fvwthasl ous y cgi,eedaeehinNosstdll Geei ahsueravdgte ara maop ohonuhenrsn rsh Leteenpmteoiafsitsp nt teliwhrnawessnrosi pddf n dr oyi Ptioa cdrhrebg sesrei-u.qif ob tt mtekct,r ro

let qasiS gGcee cdsiigt f hr d'srwncirLd peseetlriH,lyicstoic ota u ar oe rl pshsaav ianeievlstbsm Nbwttstiuse ew ab i s hi oeCnriye c,oeg i nnoo agre cgigi hnoodohe,ewo e an agi r a ceo ibAmrfciylfad.Msd.tdsan,ytr hhnvooioeewtirqhosy usiifsetaonalo, tic sl yathmnyocsnsc sob"ippe hthc olisl'rtacles jeiieile w inrisoigyuetuagttorhntthrPsobsmpnr oldetttn eitumsua ldrewed"fJidmiiu.reeepnrT i xtI e cheeromsed

omep icsne,aanAoRhsotatga 1tcdneg "d'nr doisus fiiolhste mG"atoi eecha:e-oLhartnoa eah i oeir msaih 0af nuSttsidtemh,geniryssdn lt bteeceoa nwteeea e sstitft2ir sehppao. iIhict oeemnontn8fi aaran ped,tmrdndlhoe, saoettnmgltgtsugii euh d ccr.n siarh eec r n i chhenorhttia rr oo PietppR