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Because BCBS Michigan's Zepbound exclusion was upheld by MI DIFS, ensure the PA is submitted with a T2D diagnosis code (E11.x) and not an obesity code (E66.x), which would be denied

Since the use of animal insulin for the treatment of diabetes in 1922, about nine major classes of drugs for the treatment of diabetes have been discovered and developed worldwide, including sulfonylureas, biguanides, -glucosidase inhibitors, insulins, thiazolidinediones (TZDs), meglitinides, GLP-1RAs, DPP-4 inhibitors, and SGLT-2 inhibitors

Bennett WD, Henderson AG, Ceppe A, Zeman KL, Wu J, Gladman C, Fuller F, Gazda S, Button B, Boucher RC, et al

doi: 10.1016/j.clnesp.2019.03.015 151 PawlowskaESzczepanskaJBlasiakJ