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semaglutide prior authorization GL5197E (Wegovy), Manulife Group Benefits Drug Prior Authorization Form (Wegovy/Semaglutide) – GL5197E - MLI (08/2025-WEGOV)

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Description

These highlights do not include all the information needed to use OZEMPIC safely and effectively. See full prescribing information for OZEMPIC. OZEMPIC (semaglutide) injection, for subcutaneous use Initial U.S. Approval: 2017

semaglutide prior authorization GL5197E (Wegovy), Manulife Group Benefits Drug Prior Authorization Form  (Wegovy/Semaglutide)  GL5197E - MLI (08/2025-WEGOV)

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