Continued coverage (non-weight-loss indications): GLP-1s remain coverable for type 2 diabetes, ASCVD, and CKD with proper ICD-10 coding and PA
The rationale was not arbitrary
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Medicare Payment Advisory Commission and Medicaid and CHIP Payment and Access Commission [MedPAC-MACPAC], 2017
It occurs when insulin, a key hormone, is insufficient or ineffective, disrupting how the body converts food into energy
