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Davis recommends using states Board of Pharmacy websites to make sure a compounding pharmacy is licensed

clinician determines final eligibility Who shouldn't apply: Personal or family history of medullary thyroid carcinoma or MEN 2 syndrome, history of pancreatitis, certain severe GI or kidney conditions, pregnancy, or breastfeeding - clinician screens at intake FDA regulatory status as of June 2026: Active enforcement and regulatory change ongoing

That's really where it's coming from

Without that modifier, most payer systems will bundle one service into the other and pay only one

It stays at that gentle level rather than climbing