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The relevant language: "Compounded medications are covered only when no FDA-approved commercially available product can meet the patient's medical needs, and the compounded formulation is medically necessary as documented by the prescribing provider." For semaglutide and tirzepatide, FDA-approved commercially available products exist (Ozempic, Wegovy, Mounjaro, Zepbound)
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For one, they may allow people with knee osteoarthritis to avoid or delay knee replacement surgery
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