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The growing popularity of GLP-1 receptor agonists including Ozempic and Wegovy from Novo Nordisk, and Mounjaro and Zepbound from Eli Lilly has added fuel to an already fiery debate over the governments role in subsidizing access to these drugs

Atorvastatin 40 mg 1 po qdLabs- HgbA1c 8.0, Creatinine 1.8, eGFR 46 (1 week prior to visit)Plan:DM type 2 - continue meds, Refill 10 mL Lantus, 30 U SQ qdCKD stage 3a follow with nephrology/repeat eGFRPeripheral neuropathy schedule nerve conduction study with neurologyObesity discontinue alcohol, follow diet plan providedCoded as:E11.22 - Diabetes mellitus type 2 with diabetic chronic kidney diseaseN18.31 Chronic kidney disease stage 3a E11.42 - Diabetes mellitus type 2 with diabetic polyneuropathyE66.9 ObeseZ68.34 BMI 34.3*The sole purpose of the examples is to demonstrate the application of coding guidelines discussed in the materials

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Monitoring and Risk Management in Research Use To find safety signs and effectiveness markers in the lab and the clinic, tracking must be done in a planned way

If you are in geographic proximity to a location, you may receive your first dose in the clinic

Through this management of GLP-1 use, Excellus BCBS has realized cost savings, as indicated by the graph below: Excellus BCBS is using what appears to be the most sensible weight loss GLP-1 prior authorization criteria in the marketplace, without significantly disrupting rebates. -USI Partner What we know about the future of GLP-1 drugs In 2024, there were significant advancements with GLP-1 indications