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ForumsInsurance & Access2026 payer coverage update — GLP-1 formulary changes by insurer Page 13

2026 payer coverage update — GLP-1 formulary changes by insurer

InsuranceTom Mon, Feb 26, 2024 at 4:00 PM 377 replies 33,823 viewsPage 13 of 20
FDA_TrackerJim
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May 12, 2024 at 9:22 AM#61

The figures, for anyone assembling their own picture. Say what you would expect to see if you were wrong, before you look. It is a small discipline and it changes what you notice.

46 19Dr.Martinez, mike_mod, SarahChen_PharmD and 43 others
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AmyNC_wife
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May 14, 2024 at 2:04 AM#62

Following on from chris_chi24 — and this may be the naive question:

Did your prescriber agree with that reading, and if not what was their objection?

47 20julia.endo, JessicaM_2024, TomFromTexas and 44 others
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nancy_portland
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May 15, 2024 at 6:45 PM#63
FDA_TrackerJim said:
Say what you would expect to see if you were wrong, before you look.

Filing a mild objection. Mild because I might be wrong; an objection because nobody has addressed the case that does not fit. I think the framing smuggles in the conclusion. Ask it the other way round and the obvious answer reverses, which usually means the question is doing the work.

48 21MarkLI_maint, Dr.PeteFamMed, claudia_zurich and 45 others
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InsuranceTom
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May 17, 2024 at 11:25 AM#64

OP back with an update, since a thread like this is useless without one.

Late follow-up. I did not do what was suggested, I did something adjacent, and it worked; posting the difference in case it matters to somebody.

49 22matt_MKE, Dr.ReproEndo, lucas_SP_BR and 46 others
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Admin
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May 19, 2024 at 4:04 AM#65
FDA_TrackerJim said:
Say what you would expect to see if you were wrong, before you look.

Thank you — that is the clearest version of this I have read, and I have read a lot of them.

Last edited: May 19, 2024 at 8:04 AM
50 23PeptideSynthNJ, Dr.KarenChen, Dr.NateNeph and 47 others
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