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The process involves your doctor submitting documentation including your diagnosis, lab results, medication history, and explanation of medical necessity

For compounded tirzepatide, ask whether the pharmacy is 503A (traditional compounding) or 503B (FDA-registered outsourcing facility), the state where it operates, and whether they perform third-party potency and sterility testing

Second, call the member-services number on your card and ask three specific questions: Is covered for weight loss on my plan?, Whats the prior-authorization criteria?, and Whats my expected copay or coinsurance after PA? Get the case number

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