Key Takeaways Prescribers and pharmacies will submit prior authorization requests and claims to a CMS contractor, not Part D plans or their PBMs Detailed conditions for beneficiary eligibility specified Patients will have a copay of $50, but pharmacy reimbursement details remain to be specified Background on the BALANCE Model CMS announced the BALANCE Model in December of last year, in which CMS will negotiate directly with manufacturers on behalf of Part D plan sponsors and state Medicaid agencies for more favorable costs and terms for GLP-1 medications
& Abdelalim, E
Why You Should Rotate Injection Sites If you receive B12 injections regularly, one of the most important habits to develop is rotating your injection sites
Hospital Readmissions among Commercially Insured and Medicare Advantage Beneficiaries with Diabetes and the Impact of Severe Hypoglycemic and Hyperglycemic Events
UL, upper limit of one-sided confidence interval
There is an opportunity to help patients optimize protein intake through evidence-based recommendations, appropriate protein distribution throughout the day, and a focus on minimally processed, nutrient-dense foods