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KEY DETAILS Program starts July 1, 2026 Flat $50 patient copay No deductible Only 28- or 30-day fills A new PA is required when switching medications Prescribers do not need to be enrolled in Medicare, but cannot be on the CMS Preclusion List Please share this with prescribers, pharmacists, nurses, medical assistants, and prior authorization teams

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Impairment of short-chain fatty acid (SCFA) and l-isoleucine biosynthesis in gut microbiome persists beyond 30 days after recovery from COVID-19, which could contribute to persistent leaky gut and dysbiosis in PASC patients 237,238

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However, the full glycaemic benefit reflected in HbA1c reduction takes approximately 1216 weeks to manifest