Journal of Controlled Release, 336 , 310-321
I think theres a huge market for these types of medicines. The U.S
The role of tirzepatide, dual GIP and GLP-1 receptor agonist, in the management of type 2 diabetes: The SURPASS clinical trials
Studies showing that the combined actions of both incretin receptor agonists decrease glucagon secretion suggest that the inhibitory actions of GLP-1R agonism outweigh the stimulatory actions of GIPR agonism

Continued authorization: Many states require evidence of ongoing weight loss (typically 5% or more body weight loss within 12 to 16 weeks) to continue coverage Tips for Successful Prior Authorization Document BMI, comorbidities, and lifestyle counseling at every patient visit, not just the visit where you submit the PA Include specific, detailed language about failed interventions in your clinical notes Submit the PA with complete documentation on the first attempt to avoid delays from requests for additional information Use peer-reviewed clinical trial data (STEP, SURMOUNT) to support your letter of medical necessity Track PA timelines and follow up proactively rather than waiting for automatic denial at the deadline How to Appeal a Medicaid Denial for Weight Loss Medication When Medicaid does not cover weight loss shots on the first attempt, an appeal is often warranted and frequently successful

Racial, ethnic, and socioeconomic inequities in glucagon-like peptide-1 receptor agonist use among patients with diabetes in the US