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The Use Additional code instructional note under subcategory I16.1 Hypertensive Emergency was changed to a Code also instructional note

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Eligible Part D members pay $50 a month for a covered GLP-1 prescribed for weight management Claims and prior authorization go through a central processor, not the patient's regular Part D plan The $50 copay does not count toward the Part D deductible or annual out-of-pocket cap Patients already on a GLP-1 through Part D for diabetes, cardiovascular risk, sleep apnea, or MASH stay on their existing path Eligibility depends on BMI thresholds and conditions such as high blood pressure, heart failure, chronic kidney disease, prediabetes, or a history of cardiovascular disease