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Qian BB, Chen Q, Li L, Yan CF (2020) Association between combined treatment with SGLT2 inhibitors and metformin for type 2 diabetes mellitus on fracture risk: a meta-analysis of randomized controlled trials

Step-therapy denials require either documenting the trial of the required alternative or appealing on clinical grounds (the alternative is contraindicated, has been tried unsuccessfully, or is inappropriate for a documented reason)

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