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The Precision Peptide Genetic Test reveals pathway predispositions to support informed provider conversations about expected tolerability patterns

The exception request is submitted with a clinical narrative through CVS Caremark's prior authorization portal

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Levels 2 Through 5: External Review If WellCare upholds the denial, the case moves to an Independent Review Entity (IRE) contracted by CMS, then to the Office of Medicare Hearings and Appeals (OMHA), then the Medicare Appeals Council, and finally federal district court