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Both Mounjaro and Zepbound are billed under J3490 (unclassified drugs) in the physician office setting or C9399 (unclassified drugs or biologicals) in the hospital outpatient setting

These side effects, which the medical community often overlooks, usually appear 24 months post-injection but can be late by as much as a year

In contrast to the proposed approach, many commenters indicated that the current MS-DRG cost-based methodology established in the FY 2007 IPPS rulemaking is a longstanding and better framework for improving the MS-DRG relative weights consistent with the statute

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