Last year, Washingtons Pharmacy Quality Assurance Commission, stopped production at Aequita Pharmacy, the compounder that also owns Mochi Health and was used to produce its tirzepatide drugs, because it allowed untrained and unqualified staff to perform sterile compounding and didnt properly supervise staff
As a prior authorization requirement, patients must have pre-existing atherosclerotic cardiovascular disease and/or chronic kidney disease, and a medical determination that theyre not a good candidate for empagliflozin (brand name: Jardiance)
This could be beneficial, representing additive metabolic improvement, or it could create situations where blood glucose drops further than intended, which circles back to the hypoglycemia risk that gets its own section below
For most patients, the benefits of improved blood sugar control and weight loss likely outweigh the inconvenience of feeling cold