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GLP-1 agonists are highly regulated, FDA-approved prescription medications with defined dosing protocols and monitored side-effect profiles

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Three years ago, the FDA determined that certain peptides should not be compounded, citing significant safety concerns, including the risk of life-threatening allergic reactions

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In such instances, under our existing policies, we stated the hospital must encode a payer-specific negotiated charge: percentage and an estimated allowed amount (which we stated would be replaced with the median allowed amount should our proposal be finalized) and may indicate in the additional notes data element the type of fee schedule