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Approval or Denial: If Approved: Youll receive: Explanation of prescribed dose Injection training materials or video Information about your pharmacy Timeline for delivery Follow-up schedule Contact information for questions If Not Approved: Your provider should explain: Specific reason for denial Alternative options to consider Whether you might qualify in the future Other weight loss approaches Common Reasons for Denial: BMI below threshold without qualifying conditions Contraindications (thyroid cancer history, pregnancy, MEN 2) Dangerous medication interactions Medical conditions making semaglutide unsafe Unrealistic expectations or poor understanding of treatment Most providers want to help but must prioritize safety

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In studies 2 and 3, the mean baseline HbA1c was 8.0%, 15% of patients were on insulin and 72% were on metformin HCl doses of greater than 1,500 mg daily

To address this gap, we propose to utilize Medicare data to identify AI/AN adults with diabetes from 2015-2016, with follow-up data extending to 2024

doi: 10.3389/fphar.2022.895044