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The most common denial reasons are A1C below the state's threshold (usually 7.0% to 7.5%), insufficient trial of first-line medications like metformin, BMI below 27 with comorbidities or below 30 without, missing documentation, or diagnosis code for weight loss instead of diabetes

The cause of sleep problems with Zepbound is not known

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Pricing, subscriptions, and shipping At $39.90 for 120 capsules, LongLifeNutris R-ALA costs about $0.33 per capsule the same per-capsule price as Double Woods racemic ALA at the one-time purchase rate

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