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Overall, across PBMs the consensus access policy is very tight : PBMs uniformly require prior authorization for GLP-1s used for obesity, almost always mandate step therapy, and site-of-care is typically limited (e.g

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However, through observation, those needles appear to be in the 29-gauge to 32-gauge range, which is just about the smallest gauge needles it's possible to use for a medication like semaglutide

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