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However, the CMS BALANCE model and the Medicare GLP-1 Bridge program launching in July 2026 will begin providing limited coverage for eligible beneficiaries with specific comorbidities at a $50 monthly copay
How to Notify Clients of This Update For your clients with a Part D plan that could qualify for GLP-1 coverage as part of the GLP-1 bridge, let them know to speak to their doctor about these treatments if they are interested
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With those designations removed, the broadest legal basis for "essentially a copy" compounding - under both 503A and 503B frameworks - no longer applies in the way it did during the shortage period
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