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Cardiology: Cardiologists have taken note that GLP-1 RAs reduce cardiovascular events and have beneficial effects on risk factors

Based on analyses completed to date, other confirmed counterfeit components within the seized products are the pen label, accompanying health care professional and patient information, and carton

Treatment is reviewed regularly and continued only if it's helping

Approval rates (CVS Caremark internal data, 2025): First submission approval: 34% Approval after one appeal: 58% Approval after second appeal or peer-to-peer review: 71% Final denial rate: 29% The most common denial reasons: Insufficient documentation of 90-day lifestyle intervention (41% of denials) BMI does not meet threshold or comorbidity not documented (28%) Step therapy not completed (19%) Prescriber not in-network or not qualified specialty (12%) The prior authorization process takes 3 to 14 business days for standard review

CMS officials acknowledged the proposed rule, which requires a lengthy process of collecting public comments and review, would need to be finalized after President-elect Donald Trump takes office next year

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