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As part of the prior authorization process for Bridge, prescribing clinicians will need to attest that the GLP-1 prescription is for weight reduction and weight management and that beneficiaries meet the clinical criteria and do not have a diagnosis of type 2 diabetes, OSA, or MASH that would make them eligible for GLP-1 coverage under Part D

You need bloodwork before starting and monitoring throughout treatment

The clinical literature supports this approach, as delayed escalation does not appear to compromise long-term weight loss outcomes

Lipopolysaccharides-mediated increase in glucose-stimulated insulin secretion: involvement of the GLP-1 pathway

Not everyone using Ozempic will experience this, and the reasons can be multifactorial