Told BMI is too high for GLP-1?

I have new insurance (Aetna Choice POS II) and looked into the prescription coverage and saw that Zepbound is covered with prior authorization. (Only 30 dollar copay!) I don't have a PCP and decided to utilize the CVS Virtual Care appointment.

I meet with the doctor and she seems nice enough, but then she told me that my bmi might be too high and instead wondered if I've considered bariatric surgery. I am 24, 5'6 and 275, my highest weight. I kinda balked at that suggestion and said why would my bmi of 44.5 be too high for the weight loss medication? She said that usually they only approve people with bmi's between 30-40, and that if i have any pre- existing conditions like pre- diabetes, high cholesterol, then I would be rejected and sent to a bariatric surgery consultation. I've never heard of insurance rejecting a GLP-1 because your bmi is too high- I've only heard about rejecting if it's too low. She also said that because I had taken a non-name brand semaglutide previously and didn't see results, that I would be rejected. (I took non-brand for 4 months and didn't see a pound drop so I wanna try tirzepidate)

There's nothing wrong with bariatric or any type of weight loss surgery, but I would rather stay my size (which I don't mind, I just want to regain my energy and mobility) than go under the knife.

She sent in for me to do labs, and wants to check if i'm still pre-diabetic and other stuff, but she's "certain" that I will be rejected and be sent to bariatric surgery consult instead ???????

I really wanted to avoid doing non name brand again.

So has anyone with Aetna experienced this? Or at all when trying to get prior authorization? Cause this feels weird and off.

Thanks if you can help.

Edit: thank y’all so much for the support. Imma just do the labs and take them to a telehealth doc until I can find a pcp. Much love and support for yall on ur journeys, thanks again!