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Potential Benefits & Side Effects Observations from clinical trials and published literature

This increased potency allows for more significant weight loss results and better blood sugar control, making Semaglutide the preferred choice for many patients

Nature Communications

Response: The RUC continues to state that it believes there was an error in the utilization crosswalk for this code family during the CY 2019 review

( (2) When there are multiple NDCs in a grouped billing and payment code and the manufacturer-reported ASP units for some but not all NDCs assigned to the grouped billing and payment code are either missing, negative, or equal to zero but there is a positive rebate amount calculated under 427.302(a), CMS will: (i) With respect to NDCs that were not sold or marketed during the applicable calendar quarter and lack manufacturer-reported ASP units for the applicable calendar quarter, NDCs with negative manufacturer-reported ASP units for the applicable calendar quarter, and NDCs with manufacturer-reported ASP units equal to zero for the applicable calendar quarter, apportion a $0 rebate amount to each respective NDC