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Common exclusions include: Cosmetic or lifestyle medications Over-the-counter drugs (unless prescribed and approved in certain states) Fertility treatments Erectile dysfunction medications (with limited medical exceptions) Non–medically necessary weight loss drugs Experimental or non–FDA-approved drugs In many cases, excluded medications may still be available through prior authorization if a doctor can demonstrate medical necessity

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For tirzepatide, every 10°C increase in temperature roughly doubles the degradation rate