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By choosing not to finalize the rule, the Biden team is kicking the issue to Trump, whose team will likely not want to pay for the drugs coveragebut rejecting the plan could prove politically unpopular

In CMSs words, beneficiaries with those diagnoses are ineligible to receive them through the Medicare GLP-1 Bridge, even if they otherwise meet the Medicare GLP-1 Bridge clinical criteria. The distinction that catches people: pre-diabetes still qualifies you for the Bridge, but type 2 diabetes routes you to standard Part D

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For further coverage of this issue see the following references (6, 30, 35, 99, 100)

Semaglutide is built to last much longer