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Per the CMS Claims Processing Manual , billing the J-code when the practice did not supply the drug is a billing error

If a sufficient reduction in HbA 1c levels is not achieved with metformin, treatment is typically escalated by reinforcing the importance of diet and exercise to induce weight loss, and adding a second non-insulin pharmacological treatment (Step 2a)

Even though GLP-1 medications may increase heart rate slightly, theres no evidence that they increase the risk of arrhythmias (irregular heart rhythms)

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