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The injection site was red, but not a big as the COVID arm pictures I see online

If we remove drugs from our formulary, or add prior authorization, quantity limits and/or step therapy restrictions on a drug, or move a drug to a higher cost-sharing tier, we must notify affected members of the change at least 30 days before the change becomes effective, or at the time the member requests a refill of the drug, at which time the member will receive a 30-day supply of the drug

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Tirzepatide with glycine formulations may maintain potency slightly longer than formulations without it, though the difference is modest under proper storage conditions