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are marketed in pre-packaged sachets in defined doses, such as capsules, lozenges, tablets, powder sachets, liquid ampoules, dropper bottles and the like, intended for consumption in small measured quantities

The challenge is obvious

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Unopened tirzepatide pens must be stored in the refrigerator at temperatures between 36F and 46F (2C to 8C) until the expiration date printed on the carton and pen label

When a BCBS plan does cover Zepbound, prior authorization is typically required