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For a beneficiary to qualify, their provider must submit a prior authorization request that attests the beneficiary is being prescribed the drug to reduce excess body weight and ongoing maintenance of weight reduction and that they fall into one of three categories related to BMI and other clinical diagnostic criteria (Figure 3)

Illustrative GLP - 1 US adult adoption curve 10-year horizon 1 While usage for diabetes will continue to grow, the far larger growth driver will be users without a type 2 diabetes diagnosis who are focused on weight loss

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When should I contact my doctor about constipation on GLP-1 treatment

Elevated adiponectin concentrations have been noted in major clinical trials with GLP-1RAs (123, 188) and, more robustly, with tirzepatide (189)