can my pcp prescribe glp 1 GLP-1? Clinical Options & Provider Guidance – PlexusDx Why You Need To Work

(2) Payment Methodology Overview In the CY 2026 PFS proposed rule, we proposed at 512.750 a payment methodology for ASM where we would distribute, based on performance and in the form of scaled payment adjustments, a portion of the Medicare Part B payments paid to ASM participants for covered professional services during an ASM performance year, which would result in net positive, neutral, or negative payment adjustments during an ASM payment year

Eligibility is still established through clinical review, and prescriptions are filled by retail or 503A compounding pharmacy partners depending on the product

The FDAs position is increasingly hostile to this practice

Muto et al