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A 60-day window was selected because insurance denials and appeal processes for these medications may result in unusually long times between medication prescribing and filling

Allow four to six weeks for stabilization before introducing tirzepatide

Other Medication Options Some providers use metformin during pregnancy, though its not FDA-approved for this use

Concurrent medications can affect tirzepatide pharmacodynamics

Shapely can help patients access self-pay programs for FDA-approved medications, such as Wegovy through NovoCare and Zepbound through Lilly Direct, which may offer discounted pricing for eligible patients

medications are purchased from licensed pharmacies