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There was never changes

For example, UnitedHealthcare Communications (2025) detail PA criteria for its MA dual-eligible OneCare plans: Zepbound (tirzepatide) was placed on the preferred drug list in MA effective 2025, but still requires PA ( [13] )

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Tertiary referral centers that would see high volumes of patients with Gastroparesis have in one study of 146 patients identified the etiology to be as follows: 36% were idiopathic, that is the cause of Gastroparesis was not known