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It is experiencing gradual penetration through donor-funded health initiatives and public-private partnerships

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Some United Healthcare and Aetna policies, for example, apply NCCI-like bundling edits that go beyond standard CMS edits and require Modifier 59 to bypass the edit rather than Modifier 25

Since long-term side effects are still being studied, the medical community has raised questions about the health effects for children with obesity if they continue taking the drugs for decades

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