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Ozempic Quarterly Spend and Utilization Trends Analysis of Medicaid drug data shows that most of Californias Ozempic reimbursements in 2024 came through Fee-For-Service Utilization (FFSU), rather than Managed Care (MCOU)

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What payers require for Mounjaro prior authorization For Mounjaro (diabetes indication), most payers require: Confirmed type 2 diabetes diagnosis with recent HbA1c level (typically above 7.0%) Documentation of current diabetes medications and their inadequacy (most plans require failure of metformin unless contraindicated) Step therapy documentation showing the patient has tried first-line agents before progressing to tirzepatide Prescriber specialty (some plans restrict initial prescribing to endocrinologists or require specialist consultation) The PA request uses the tirzepatide dosing schedule as part of the clinical rationale

Coronary and Peripheral Artery Disease GLP-1 RAs have shown mixed results in the management of CAD, particularly regarding MI outcomes

They had no floor or bed protection for persons who were a fall risk

Note: Serving Sizes are rounded to the nearest whole serving