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Dosing typically ranges from 1,000 to 2,500 mcg daily for oral/sublingual forms, or 1,000 mcg weekly to monthly for injections, depending on baseline B12 levels and individual absorption capacity
In patients with T2DM who do not have atherosclerotic cardiovascular disease (ASCVD)/indicators of high-risk, HF, or CKD and who need to minimize hypoglycemia and/or promote weight loss, GLP-1 RAs are generally recommended as a second or third-line option as add-on to metformin therapy
These are typically administered either intramuscularly (IM) or intravenously (IV), depending on the product and the individuals needs
Watch for these: Missing or incorrect ICD-10 diagnosis code Drug classified as self-administered under Medicare policy Missing NDC on the drug J-code line Injection billed in a facility setting where the physician can't separately bill the administration code MUE limit exceeded without documented medical necessity for additional units Per CMS Medicare Part B drug benefit policy , coverage determinations for specific drugs are governed by Local Coverage Determinations issued by each Medicare Administrative Contractor