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The difference between utilization management that works and one that doesn't comes down to how it's designed: Prior authorization should be based on clinical evidence, not designed to protect rebate-generating drugs Step therapy protocols need to reflect current treatment guidelines and be reviewed regularly A well-managed appeals process catches inappropriate denials before they become care gaps Clinical pharmacist oversight makes the difference between utilization management that helps and one that harms 3

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J., Mezquita-Raya, P., Carretero-Gmez, J., Castro, A., Cebrin-Cuenca, A., de Torres-Snchez, A., Garcia-de-Lucas, M

The STEP 5 trial demonstrated sustained weight loss of 15.2% over 104 weeks (2 years)

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