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VOO crossed the threshold having quadrupled in size since 2022, driven by sustained investor demand for low-cost index-tracking products and exposure to large-cap US stocks that have benefited from the artificial intelligence boom

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Where the benefit is included, prior authorization is required: typically BMI 30 or higher, or BMI 27 or higher with a weight-related comorbidity (hypertension, type 2 diabetes, dyslipidemia, or obstructive sleep apnea), plus documented lifestyle program participation and weight-loss maintenance for renewal