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Researchers used propensity score matching by demographics, comorbidities, BMI, HbA1c and health care utilization for both arms
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diabetes diagnosis for Mounjaro) Lab results (HbA1c for diabetes, lipid panel, liver function) Documentation of prior weight-loss attempts or prior diabetes medications tried and failed Letter of medical necessity from your provider PA approval rates for tirzepatide (2025 data): Mounjaro for type 2 diabetes: 78% approved on first submission (Lilly data on file) Zepbound for weight management: 52% approved on first submission (IQVIA prior authorization tracking study 2025) When PA is denied, you have three options: Your provider submits an appeal with additional documentation (approval rate on appeal: 35-40%) You pay cash price without insurance You switch to an alternative (compounded tirzepatide, different medication class) The savings card doesn't expedite PA
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