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Data from a 2025 Government Accountability Office (GAO) report on TRICARE pharmacy access: The variation reflects differences in: Regional medical director interpretation of clinical criteria Local provider familiarity with GLP-1 agonist prescribing Documentation quality in prior authorization submissions Contractor staffing levels and review processes The approval rate for tirzepatide specifically (as opposed to all GLP-1 agonists) is not separately reported, but informal surveys of military endocrinologists suggest tirzepatide approval rates are 5 to 10 percentage points lower than semaglutide approval rates, likely because tirzepatide is newer and more expensive
Eng teamed up with Raufman, and by 1992 they identified exendin-4 a 39amino acid peptide in Gila monster venom ( [45] ) ( [51] )
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