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For example, UnitedHealthcare Communications (2025) detail PA criteria for its MA dual-eligible OneCare plans: Zepbound (tirzepatide) was placed on the preferred drug list in MA effective 2025, but still requires PA ( [13] )

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On June 22, 2026, the agency published Import Alert 66-80: Detention Without Physical Examination of Glucagon-Like Peptide-1 (GLP-1) Receptor Agonist Bulk Drug Substances. Its a small line item with a big implication: regulators are explicitly signaling that the bulk-ingredient supply chain for GLP-1 peptides is now a frontline enforcement target