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A 2023 quality-control survey of compounded GLP-1 products (USP and FDA joint sample) found that 1.3% of vials surveyed had visible signs of degradation, almost all linked to shipping or storage temperature excursions rather than compounding errors

[149] High costs of Ozempic prompted some insurance companies to investigate and refuse to cover individuals with what the companies considered was insufficient evidence to support a diabetes diagnosis, alleging off-label prescribing for weight loss

Ma KS, Rezaie A