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In patients with T2D and CKD who have not achieved individualized glycemic targets despite use of metformin and SGLT2i, or who are unable to use those medications, the Kidney Disease: Improving Global Outcomes (KDIGO) guidelines6 recommend long-acting GLP-1RA

Under the announced framework, Medicare pricing for injectable GLP-1 medications will be set at approximately $245 per month, with beneficiary copays capped at $50

clinician determines final eligibility Who shouldn't apply: Personal or family history of medullary thyroid carcinoma or MEN 2 syndrome, history of pancreatitis, certain severe GI or kidney conditions, pregnancy, or breastfeeding - clinician screens at intake FDA regulatory status as of June 2026: Active enforcement and regulatory change ongoing