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The only extra step was identity verification, which required either the last four digits of a Social Security number or a photo ID uploaded to the clinic

however, because Mounjaro is a dual-action medication, it mimics GLP-1 as well as another hormone called GIP

Collectively, these sources indicate GLP-1 PA denials are typically in the 6080% range on first pass (dramatically higher than the ~11% average across all drugs)

[Google Scholar] 148.Chakrabarti S

However, more research may need to be done in this area to achieve absolute certainty