PSW’s ForwardHealth Anti-Obesity Drug Coverage Toolkit is a practical resource to help pharmacists and care teams navigate Wisconsin Medicaid and SeniorCare coverage for anti-obesity medications. The updated toolkit summarizes current eligibility requirements, preferred agents, initial and renewal prior authorization criteria, approval timeframes, and important coverage considerations. It also includes guidance for special indications such as MACE and MASH, as well as coverage criteria for pediatric patients age 12 and older.
Download the toolkit for a streamlined reference to help support accurate PA submissions and improve access to appropriate weight-management therapies for eligible patients.