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SKU: 37979424508

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The prior authorization guidelines are detailed in this Medicaid bulletin

Diabetes 61(1):187196

Mounjaro and other GLP-1s should be avoided or used only under close supervision by people with a history of pancreatitis, gallstones, medullary thyroid cancer or MEN2, severe kidney disease, a very low BMI or eating disorder, and during pregnancy or breastfeeding

Triiodothyronine (T3), Free