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Diabetes Obes Metab (2020) 22(3):44251

Prescription weight-management medications may be used (in combination with a reduced-calorie diet and increased physical activity) for people with one of the following conditions: A body mass index (BMI) of 30 or higher A BMI of 27 or higher with a weight-related condition, such as high blood pressure or type 2 diabetes GLP-1s and weight-management medications may also be prescribed for reasons outside of this list

BMJ 342 , d1309 (2011)

What You'll Do Conduct synchronous telehealth evaluations for new GLP-1 patients, assessing eligibility, comorbidities, contraindications, and treatment goals per Berry Street's clinical protocol Prescribe and titrate FDA-approved GLP-1 medications (Wegovy, Zepbound, Ozempic, Mounjaro, etc.) under your own independent prescriptive authority Manage follow-up visits, dose titration, side effect counseling, and lab review through a mix of synchronous visits and async chart review, per applicable state law Review Berry Street RD care summaries before prescribing encounters and reference documented lifestyle modification history in your clinical documentation Sign Letters of Medical Necessity for prior authorization submissions Respond to PA appeals requiring clinical input within 48 hours and support renewal PA documentation every 612 months Participate in Medical Director-led clinical reviews, protocol updates, and quality improvement initiatives to continuously refine the prescribing experience Maintain active licensure, independent prescriptive authority, malpractice coverage, and payer credentialing across contracted states Participate in periodic chart audits and quality reviews led by the Medical Director Requirements Active, unrestricted Nurse Practitioner license and current ANCC or AANP board certification (FNP, AGNP/AGPCNP, or equivalent population-focus certification appropriate for adult weight management) Active licenses in a minimum of 30 U.S

The clinical importance of GLP-1 has been highlighted by the development of GLP-1 receptor agonists (such as semaglutide and liraglutide) for managing type 2 diabetes and, under specific NICE criteria, for weight management

Laboratories can design reconstitution and dilution strategies aligned to assay schedules, reduce the number of open handling events, and document preparation timing with higher precision