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Nascobal (Cyanocobalamin, USP) Nasal Spray 500 mcg/spray 0.125 mL [Label]
BCBS Affiliate Zepbound Coverage Key Requirements BCBS of Texas Covered with PA BMI 30 or 27 with comorbidity
Trial FLOW (Perkovic et al., NEJM 2024) Design Phase 3 / event-driven Population 3,533 adults with T2D and CKD Key result 24% reduction in kidney disease progression and CV death (HR 0.76
It is available through specialist NHS weight management services, though access may vary by Integrated Care Board (ICB)
Individuals with a BMI over 25 and metabolic symptoms, or a BMI over 30, may qualify for GLP-1 therapy following a medical evaluation
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