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It says most state Medicaid programs allow one or two levels of appeal, and that resubmission with additional clinical evidence, specialist letters, or comorbidity documentation often succeeds

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Non-GLP-1 agents are most appropriate for patients unable to tolerate GLP-1 medications, those with GLP-1 contraindications (such as personal or family history of medullary thyroid carcinoma), or individuals requiring different metabolic pathways