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Step 5: Consider a Formulary Alternative While the Appeal Is Pending When the appeal timeline would delay patient access to critical medication, the prescriber may consider switching to a formulary-listed alternative that doesnt require PA

If you previously used compound semaglutide during the shortage, your provider can discuss next steps and help you transition to an approved approach aligned with current FDA guidance

Clinical trials evaluating semaglutide for both diabetes management (SUSTAIN trials) and weight loss (STEP trials) did not identify bruising as a frequent adverse event compared to placebo groups

Your provider may adjust your dose or prescribe antiemetic medication

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