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Some patients achieve HbA1c normalization

, However, they may be legally compounded when all of the following are met: Prepared by U.S.-licensed 503A pharmacies or FDA-registered 503B outsourcing facilities Used for patient-specific medical needs Produced in compliance with USP sterile compounding standards Prescribed and monitored by a licensed clinician This distinction not FDA-approved but still FDA-compliant is critical

### **Prior authorization** For dates of service on or after October 1, 2019, a completed Special Medical Prior Authorization (SMPA) Request Form is required

GLP-1 agonist initiation could be done in primary care, as long as primary care doctor and team are comfortable