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This design was modified from Hayes et al

Difficulty Achieving Long-Term Weight Loss Individuals who have made consistent efforts with diet and physical activity but continue to struggle with sustained weight management may benefit from medications that target appetite regulation

It is also always the providers responsibility to understand and comply with Medicare national coverage determinations (NCD), Medicare local coverage determinations (LCD), and any other coverage requirements established by relevant payers which can be updated frequently

One of the most common policies requires doctors to submit additional paperwork explaining why a patient needs these drugs before a prescription can be picked up
