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Ensure the clinical story is consistent: if metformin wasnt used or wasnt tolerated, document the intolerance/contraindication and reflect it in the drug history and rationale
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"Medicare Advantage Insurers Made Nearly 50 Million Prior Authorization Determinations in 2023." 81.7% overturn rate, 11.7% appeal rate
Some research in mice has indicated that lower levels of glutathione are linked to vitamin D deficiency
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