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For beneficiaries to be eligible under the BALANCE Model, providers must attest that they meet certain clinical criteria, including qualifying for a GLP-1 for a currently covered use (such as type 2 diabetes, cardiovascular disease risk reduction, or sleep apnea) or for use to treat obesity based on similar clinical criteria as applied in the Medicare GLP-1 Bridge (Figure 3)

Clinical trial results overview Phase 2 trial outcomes: Eli Lilly's phase 2 trials demonstrated dose-dependent weight loss reaching 24.2% at the highest doses over 48 weeks

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