Investigating root causes If two different incretin-based medications have failed, the problem may not be the medications
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The appeal should address the reasons for the denial and provide additional evidence to support the medical necessity of the GLP-1 medication
Eur J Endocrinol 143: 639-647 Hollowell JG, Staehling NW, Flanders WD, Hannon WH, Gunter EW, et al
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California, New Jersey, New York, Washington, Massachusetts, Connecticut, Oregon, Colorado, and others have state-level laws with their own thresholds, durations, and coverage rules