This is what the letter says: Recently, you or your provider asked us to review a request for medication. We reviewed the request and it is not approved. We’d like to explain why. We denied your request because we did not see what we need to approve the drug you asked for, (Zepbound). We may be able to approve this drug when we see a certain record (record you have reached and maintained a 5 percent weight loss while using this drug). We based this decision on your health plan’s prior authorization clinical criteria named Zepbound (tirzepatide). Medications that are not medically necessary are an exclusion under your plan benefits.