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The risk appears continuous rather than threshold-based: population studies reveal progressively higher thrombotic and hypertensive risk with rising hematocrit, even below the 50% level historically adopted as a regulatory cutoff [79,80,81]

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It notes many insurers classify GLP-1 injectables as tier 3 or tier 4 drugs, and that Medicare Part D covers Ozempic on most formularies but often with prior authorization and step therapy attached