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The reason for this is that Tirzepatide or Mounjaro is not FDA-approved for weight loss, and most insurance companies will not pay for it, if it is taken for this reason
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Diabetes JournalsAmerican Diabetes Association 2) Coverage & access: what changed and how to operationalize it Medicare: Coverage now includes (1) any insulin-treated beneficiary and (2) individuals with problematic hypoglycemia meeting documentation criteria, with the historical finger-stick requirement removed