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In addition, a newer class of drugs called sodium-glucose cotransporter-2 (SGLT2) inhibitors demonstrated cardioprotective properties in trials with individuals who have diabetes and CKD, as well as people with CKD who do not have diabetes
Rather than offering unlimited coverageor excluding these medications completelytheyre implementing strategies that provide access while managing costs
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CMS requires the prescribing healthcare provider to submit prior authorization confirming that the beneficiary meets the demonstrations eligibility requirements before the medication can be dispensed
It occurs suddenly and unpredictably but is consistently present
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