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one MD can collaborate with 4 NPs Physician Requirements: Prescription blanks must include both CRNP name and collaborating physician name Physician must review sample of charts regularly Weight-Loss Prescribing: No PA-specific obesity drug rules Follow standard of care Collaborative agreement should specify authority to prescribe weight-loss meds Telehealth: Relatively open to telehealth No comprehensive parity statute (yet) Act 69 (2020): Tele-mental health payment parity No state restrictions on controlled substance prescribing via telehealth Medicaid reimburses telehealth Bottom line: PA requires physician collaboration for all NPs

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It has been widely used and studied for many years

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Researchers are also exploring its application in treating obesity independently of diabetes, pointing toward broader therapeutic implications