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Regarding the suggestion to include CLDs related to two additional Conditions of Participation: 418.106Drugs and Biologicals, Medical Supplies, and Equipment, and 418.100Organization and Administration of Services, we will consider these suggestions for future iterations of the algorithm pending additional analyses

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This is a custom-compounded injectable formulation combining two active ingredients: Semaglutide a GLP-1 receptor agonist known for appetite suppression, improved glucose control, and weight loss effects Empower Pharmacy+1 Cyanocobalamin a version of vitamin B12, important for energy metabolism, neurological function, and red blood cell production Empower Pharmacy+2Wikipedia+2 Empower Pharmacy produces this injectable under their compounding operations and offers it through their 503A compounding pharmacy (patient-specific prescriptions) and 503B facility for larger sterile compounding needs Empower Pharmacy+3Empower Pharmacy+3Empower Pharmacy+3 Because its a compounded product, it is not FDA-approved as a branded drug

While this drives fat loss, the body also catabolizes muscle for energy when deficits become too large