No Guarantee of Treatment Outcomes: Weight loss results with GLP-1 medications, whether oral or injectable, compounded or branded, vary significantly between individuals based on numerous factors including starting weight, metabolic health status, genetic factors, lifestyle habits, medication adherence, diet quality, physical activity levels, sleep patterns, stress management, underlying medical conditions, concurrent medications, and other variables
Research in this area is needed, but the mechanistic rationale is sound
Every time it's been lowered, another 50 million Americans "needed" the drug overnight
In summary, after consideration of the public comment we received, we are finalizing our proposal without modification, to assign CPT code 0897T to APC 5724 (Level 4 Diagnostic Tests and Services as reflected in Table 48
ERT = ertugliflozin