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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

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The tirzepatide hydroxocobalamin variant represents a third option with its own absorption characteristics

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January 2024 Updates: Highmark Update CAA Gag Clause Attestation Filing Update Highmarks follow-up guidance surrounding the Gag Clause Prohibition Attestation Requirements Most Highmark clients through our General Agency channel fall under the category of Fully-Insured, for which Highmark attested on behalf of the client

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