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She was treated with triple therapy indacaterol/mometasone/glycopyrronium by dry powder inhaler, a proton pump inhibitor (PPI) daily on speculation owing to her having some heartburn and to assist in weight loss, and subcutaneous semaglutide (a GLP-1 RA) that was titrated to 1 mg weekly as conventional weight loss strategies of diet and weight loss had not been successful
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The denial letter will likely state that the medication is not medically necessary for the diagnosed condition (e.g., obesity) or that it's being used for a non-covered service (cosmetic weight loss, in their view)