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If someone in Pennsylvania wants a COVID-19 vaccine right now, they cannot get one at these locations

Cannabinoids There were no changes in the cannabinoid section of the Prohibited List, but WADA published its conclusions from a recent assessment it conducted on whether THC specifically should be prohibited

Certain medications can interfere with vitamin B12 absorption or metabolism, potentially leading to abnormal B12 levels in the blood, especially in cases where the body does not absorb or utilise B12 properly

Already in effect (January 1, 2026): Standard PA decisions within 7 calendar days (down from 14) Urgent PA decisions within 72 hours Specific denial reasons required on every denial (not just not medically necessary) Applies to Medicare Advantage, Medicaid managed care, CHIP, and ACA Marketplace plans Coming March 31, 2026: Payers must publicly report PA metrics for calendar year 2025: approval/denial rates, average decision times, and appeals outcomes Providers will be able to compare payer performance for the first time Coming January 1, 2027: FHIR-based Prior Authorization APIs required providers check PA requirements, submit requests, and receive decisions electronically through their EHR Expected to reduce average PA processing time from days to minutes for standard requests Medicare WISeR Model (live in AZ and WA): The Wasteful and Inappropriate Services Reduction pilot launched January 2026 in six states including Arizona and Washington

This can lead to high blood sugar and even type 2 diabetes

Switching routes is an exposure change, not a brand swap