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4 , 554579.e9 (2023)

doi: 10.2337/ds20-0033

Plans may exclude specific diseases, treatments, or drugs only if the exclusion applies uniformly to all similarly situated individuals and does not target those with a particular condition

We noted in our CY 2023 and CY 2024 rules that there are several competing concerns ( that CMS must take into account when considering updated data sources, which also should support and enable ongoing refinements to our PE methodology

Anyone with a personal or family history of medullary thyroid carcinoma, or with a history of pancreatitis, is not a suitable candidate

The label's thyroid contraindications concern a personal or family history of medullary thyroid carcinoma and Multiple Endocrine Neoplasia syndrome type 2 thyroid cancer conditions, not underactive thyroid