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Insurers may require documentation of inadequate glycemic control on other medications, such as metformin, and may require step therapy demonstrating trials of less expensive alternatives before approving tirzepatide

[6] Your health has gotten worse If someone taking semaglutide experiences severe side effects that do not go away, it may be unsafe to continue using the medication

These add 100 to 200 calories with zero protein

Last Published 01.01.2026 Effective Date: 01.01.2026 This policy addresses the use of Vyjuvek (beramagene geperpavec-svdt) for the treatment of wounds in patients with dystrophic epidermolysis bullosa (DEB)