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Description
However, beyond the efficacy for metabolic control, the current guidelines of diabetes mellitus pharmacotherapy are directed towards protection in the cardiovascular health and other complications, for which this pharmacological group is positioned as an important option, demonstrating a reduction of cardiovascular events compared to placebo which may be comparable to recent result from SGLT-2 inhibitors

For off-label use, Ambetters policy will almost always supersede your doctors recommendation, leading to a denial

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instead, proceed with your next scheduled dose as planned
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