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Prior authorization is required for most biologics and GLP-1 agents administered under this code, and the MAC's LCD governs coverage for the specific drug
However, it is important to note that many peptides remain classified as investigational
Most of what we know is preclinical, and real-world human trials are not yet strong
Injuries that had plateaued for months sometimes show rapid progress during this period
Early clinical studies suggest that retatrutide may improve cardiometabolic profiles by reducing blood pressure and improving lipid levels, further underscoring its promise for addressing both metabolic and cardiovascular risk factors in individuals with obesity and diabetes
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