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The goal is to increase the dose gradually until the highest tolerable dose (a dose that reaches the desired effect without unacceptable side effects) is reached
Indeed, that is exactly what the phototrichography found out
The Formula: Units to mg (Units 100) Concentration (mg/mL) = Dose in mg Example Tirzepatide patient taking 44 units at 17 mg/mL: (44 100) 17 mg/mL = 7.5 mg So 44 units of Tirzepatide at 17 mg/mL = 7.5 mg of the medication
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Medical Necessity Checklist for Formulary Exception If you're requesting a formulary exception, gather this documentation first: Required Documentation for Exception Request Current BMI documentation (30 or 27 with comorbidity) Documented comorbidities with ICD-10 codes: Obesity Class I/II/III (E66.811, E66.812, E66.813) Hypertension (I10) Type 2 Diabetes (E11) Dyslipidemia (E78.5) Obstructive Sleep Apnea (G47.33) Failed alternative treatments documented trials of: Phentermine or diethylpropion Qsymia or Contrave Semaglutide (Wegovy/Ozempic) for 6+ months Lifestyle modification records (diet/exercise program participation) Weight history showing chronic obesity (past 1-2 years) Letter of Medical Necessity from your Kaiser provider For more on prior auth documentation, see our Zepbound prior auth checklist EXCEPTION PATHWAYS How Some Members Get Coverage While standard coverage is limited, some Kaiser members do get Zepbound covered
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