is wegovy covered by united healthcare

Justin Bronder thought he knew exactly what he needed. These policies and guidelines are provided for informational purposes, and do not constitute medical advice. + Brand may be excluded from coverage. They approved the ozempic right away. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Manufactured by Novo Nordisk, Wegovy contains the active compound called semaglutide and was granted FDA approval in 2021. Wouldnt it be easier and cheaper to treat obesity before it leads to more serious conditions like diabetes, heart disease, and high blood pressure? See your local Veterans Administration provider to discuss obesity medication options. SAMPLE COVERAGE REQUEST LETTER The example below is for reference only. Wegovy, are breastfeeding or plan to breastfeed. Novo Nordisk is a registered trademark of Novo Nordisk A/S. you have had a serious allergic reaction to semaglutide or any of the ingredients in Wegovy. Ozempic vs Wegovy: What's the difference between them? Is Wegovy covered by insurance? Build your drug list. Many insurance companies were refusing to cover the drug. But obesity experts disagree on how long a patient should take the drugs. What is the most important information I should know about Wegovy, What are the possible side effects of Wegovy. and our Wegovy (semaglutide) prescribing information. Health (8 days ago) Fitness Does United Healthcare Cover Wegovy For Weight Loss written by Patty Allen December 1, 2022 Introduction Wegovy is available in 5 strengths ranging from 0.25mg to 2.4mg, each taken once a week. You can manually enter your drugs. are pregnant or plan to become pregnant. SAMPLE COVERAGE REQUEST LETTER The example below is for reference only. See our refund policy for full details. If you do not have insurance, contact Novo Nordisk, the manufacturer, 1-888-809-3942 (Monday-Friday, 8:00 am-8:00 pm ET) to determine if you qualify for a Wegovy Savings Copay Card or patient financial assistance program. Novo Nordisk. You are encouraged to report negative side effects of prescription drugs to the FDA. Does my plan cover GLP-1 (glucagon-like peptide) medications?, Does my plan cover the following lab tests? Wegovy starts working immediately after injecting a dose. Where and how should Ozempic be injected? The VA will cover obesity management. Clicking continue below will take you to a website to which our Privacy Policy does not apply. Weve found these plans do not typically cover the medications that your Calibrate medical team will prescribe., At this time, Calibrate is unable to accept uninsured members. Instructions for Use . Harvard T.H. You can reach out to your health care provider's office and request that they initiate a PA. Sign up for WeGoTogetherand get help setting and tracking your weight-loss goals. Create an account to follow your favorite communities and start taking part in conversations. Wegovy stays in the body for about 5-7 weeks after the last dose. To get a prescription for Wegovy, you must be obese or overweight and have a weight-related medical condition. It is not known if Wegovy. you or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC) or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Tell your healthcare provider if you are taking other medicines to treat diabetes, including sulfonylureas or insulin. Novo Nordisk Inc., 800 Scudders Mill Road, Plainsboro, New Jersey 08536 U.S.A. you or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC) or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Weight loss The most common side effects of Wegovy are related to digestion, including: But it may take several weeks or months before you notice weight loss or a decrease in appetite. The first step to getting a prescription for Wegovy is to have a consultation with a licensed medical provider. All other trademarks, registered or unregistered, are the property of their respective owners. But it may take several weeks or months before , https://www.health-improve.org/will-united-healthcare-cover-wegovy/, Health (7 days ago) Does United Healthcare Cover Wegovy For Weight Loss. How long does it take for Rybelsus to start working? Geoffrey Joyce, PhD, director of health policy, University of Southern California Schaeffer Center for Health Policy and Economics. Press J to jump to the feed. Diarrhea. If you have commercial insurance, and your doctor prescribes this medicine, it may be more affordable to gain access with a Wegovy Savings Copay Card supplied from Novo Nordisk, the manufacturer. J . It is not known if Wegovy. We did not find any health care providers that match {providerFirstName} {providerLastName} in {providerState}. But it may take several weeks or , https://www.health-improve.org/will-united-healthcare-cover-wegovy/, Health (7 days ago) WebDoes United Healthcare Cover Wegovy For Weight Loss Health (8 days ago) Wegovy starts working immediately after injecting a dose. If there are any changes to your , Health (3 days ago) Wegovy (semaglutide) injection 2.4 mg is an injectable prescription medicine used for adults with obesity (BMI 30) or overweight (excess weight) (BMI 27) who also have weight-related , Health (2 days ago) United Healthcare always covers visits to your doctor if you are injured or sick, and it provides preventative health benefits for services deemed necessary by the U.S. Preventive Services , https://www.livestrong.com/article/535205-weight-loss-programs-covered-by-united-healthcare-insurance/, Health (7 days ago) Ways to Gain Coverage for Wegovy Wegovy (semaglutide) Health (2 days ago) WebWhat is Wegovy ?. Wegovyslows stomach emptying and can affect medicines that need to pass through the stomach quickly. To get information about your insurance coverage for Wegovy, you can: Were available to you Monday-Friday, 8:00 am-8:00 pm ET. Or there may be a similar drug that your insurer will cover instead. To determine if coverage is available, your doctor may request a coverage review. Has anyone else experienced this? He put me on a notification waiting list. The lowest GoodRx price for the most common version of Wegovy is around $1,318.90, 15% off the average retail price of $1,568.66. Did your doctor use obesity plus another diagnosis, like hypertension to get this approved? Contact Medicaid Check with your benefits administrator to learn more about your options., Medicaid prescription coverage varies from one state to another. You can help! How are others getting ozempic approved with UHC without a type II diabetes diagnosis? His cholesterol, blood pressure, and blood sugar have returned to a normal range. UnitedHealthcare has developed Medical Policies, Medical Benefit Drug Policies, Coverage Determination Guidelines, and Utilization Review Guidelines to assist us in administering health benefits. Can Calibrate offer new members Wegovy? Sign up forWeGoTogetherand get help setting and tracking your weight-loss goals. Clinical trials on Wegovy including a double-blind, placebo-controlled study (the scientific gold standard) show an average 15% weight loss. If you have one of these plans, please check with its administrator. The VA will cover obesity management. If you or a friend or relative has a health care plan that covers Wegovy for weight loss, can you please post the employer's name below or DM me and I'll add it to the list. Wegovy is not covered by most Medicare and insurance plans, but manufacturer and pharmacy coupons can help offset the cost. How much will my drugs cost? have or have had problems with your pancreas or kidneys. + Brand may be excluded from coverage. In addition, if you have a high-deductible health plan, you must fulfill the deductible before your medications are covered by your plan. Discuss these different options with your doctor and if any may be reasonable alternatives. If your health insurance does not cover Wegovy, you might still be able to gain coverage for it. Also one month supply of ozempic was listed at 4700 pesos at repudible local pharmacy. Wegovy is not covered by most insurance plans and Medicare, but manufacturer and pharmacy coupons can help offset the cost. Changes can happen anytime within the plan year and this may significantly impact your healthcare costs. You can manually enter your drugs. Want to receive more information about Wegovy, including supply updates? Wegovy launched with a list price of $1,350 per 28-day supply before insurance. Then, about 5 months ago, Bronder ran across some research about a weight loss drug called semaglutide(Wegovy). Do you wish to continue ? Please contact your Military Treatment Facility or Tricare Network provider to discuss. Contact Us Compare GLP-1 agonists. Wegovy is a relatively new medication, approved by the FDA in June 2021. Wegovy (semaglutide) injection 2.4 mg is an injectable prescription medicine used for adults with obesity (BMI 30) or overweight (excess weight) (BMI 27) Urge your Senators and House of Representatives member to cosponsor and support final passage ofTROA. Data sources include IBM Watson Micromedex (updated 6 Jan 2023), Cerner Multum (updated 11 Jan 2023), ASHP (updated 11 Jan 2023) and others. Lower-cost options are available and , https://www.myuhc.com/content/myuhc/Member/Assets/Pdfs/709335_Maintenance_Drug_List.pdf, Health (6 days ago) How much will my drugs cost? You don't have to be an existing UnitedHealthcare member to use the import feature. Select your provider from the list below. I have to go through the whole appeal process if I want insurance to cover it. People who may need a prescription for Wegovy can use Push Health to connect with a medical provider who can prescribe Wegovy for weight loss, if needed. Lower-cost options are available , https://www.myuhc.com/content/myuhc/Member/Assets/Pdfs/709335_Maintenance_Drug_List.pdf, Health (7 days ago) WebThe appearance of a health service (e.g., test, drug, device or procedure) in the Medical Policy Update Bulletin does not imply that UnitedHealthcare provides coverage for the , https://www.uhcprovider.com/en/policies-protocols/commercial-policies/commercial-medical-drug-policies.html, Health (1 days ago) WebWegovy(semaglutide) injection 2.4 mg is an injectable prescription medicine used for adults with obesity (BMI 30) or overweight (excess weight) (BMI 27) who also have , https://www.novocare.com/wegovy/cost-navigator.html, Health (6 days ago) WebWe are here to help and are ready to answer your questions at 1-833-4-WEGOVY (1-833-493-4689) from 9 AM to 6 PM Eastern Monday through Friday and select option 0 for , https://www.novonordisk-us.com/products/product-supply-update.html, Health (7 days ago) WebDoes United Healthcare Cover Wegovy For Weight Loss. The estimates are based on the selected provider's contract rates/fee schedule or claims averages. 2023 Calibrate Health. Health (8 days ago) WebWegovy starts working immediately after injecting a dose. We provide simple answers for wellness minded readers. Learn more: Ways to Save on Wegovy and Other Medicines. Health (8 days ago) Wegovy starts working immediately after injecting a dose. Does anyone else find their medication working too well? Links are provided as a public service and for informational purposes only. We comply with the HONcode standard for trustworthy health information. 1 5 more replies FLYlilET 2 yr. ago Review the full Wegovy information and discuss this information and any questions you have with your doctor or other health care provider. Your insurance may say you require a prior authorization form to be filled out by your doctor and sent into the insurance company as part of the insurance approval process. The most common side effects of Wegovymay include: nausea, diarrhea, vomiting, constipation, stomach (abdomen) pain, headache, tiredness (fatigue), upset stomach, dizziness, feeling bloated, belching, gas, stomach flu and heartburn. Wegovy.com has a savings card you can sign up for. Thatd be about half the U.S. price, assuming you get the 6-month $25.00/month card in the US, and then paying $1300/month for the remaining six months. Wegovy is one of the medications Calibrate doctors prescribed to work in conjunction with the Calibrate One-Year Metabolic Reset. Each dose comes in a different colored pen. These will vary depending on the plan level you have selected for yourself and your family. To determine if your insurance plan covers Wegovy , you can visit Wegovy.com beginning January 3, 2023 or contact your insurance provider. This form should NOT be used as the coverage request letter. Discuss these different options with your doctor and if any may be a reasonable alternative to Wegovy. How long does it take to lose weight on Wegovy? Update: Called insurance. A generic option is not expected until about 2026 to 2031, but can vary based on patent restrictions. Is Wegovy covered by insurance? 2021 WellnessVoice - All rights reserved, Does United Healthcare Cover Wegovy For Weight Loss. Does United Healthcare Cover Wegovy For Weight Loss Health (8 days ago) Wegovy starts working immediately after injecting a dose. Call1-833-4-WEGOVY (1-833-493-4689) between 9:00 AM and 9:00 PM ET, MondayFriday. I called United HealthCare and they have WeGovy already listed and they are not covering it. Visit our FAQs to learn more about the Calibrate program and medication insurance coverage. low blood sugar (hypoglycemia) in patients with type 2 diabetes, gas (flatulence), and gastroenteritis. Its been extremely frustrating because [Wegovy] is the most effective obesity medication weve ever seen and there are many insurers who wont cover it at all, says Katherine H. Saunders, MD, an assistant professor of clinical medicine at Weill Cornell Medicine in New York City. Health (8 days ago) WebWegovy starts working immediately after injecting a dose. Novo Nordisk is a registered trademark of Novo Nordisk A/S. Ways to Gain Coverage for Wegovy Wegovy (semaglutide) Health (2 days ago) WebWhat is Wegovy ?. In adults, eligible patients should have an initial body mass index (BMI) of 30 kg/m. Wegovy, are breastfeeding or plan to breastfeed. Select Option 2. Health (8 days ago) Fitness Does United Healthcare Cover Wegovy For Weight Loss written by Patty Allen December 1, 2022 Introduction Wegovy is available in 5 strengths ranging from 0.25mg to 2.4mg, each taken once a week. Novo Nordisk is not responsible for the content of the site you are about to visit. Wegovy, are breastfeeding or plan to breastfeed. Accessed Aug 26, 2022 at. Add My Drugs. Still expensive but way cheaper than in the states. See if youre eligible to save on Wegovy. Does United Healthcare Cover Wegovy For Weight Loss. And which fb group has the information about the cheapest place to find wegovy? Wegovy stays in the body for about 5-7 weeks after the Accessed Aug 26, 2022 at, Drug Patent Watch. As a general rule, Medicare does not cover medicines that treat overweight or obesity, including Wegovy. The most common side effects of Wegovymay include: nausea, diarrhea, vomiting, constipation, stomach (abdomen) pain, headache, tiredness (fatigue), upset stomach, dizziness, feeling bloated, belching, gas, stomach flu and heartburn. gastroesophageal reflux disease (GERD). Wegovy stays in the body for about 5-7 weeks after the last dose. Wegovyis an injectable prescription medication foradults with obesity (BMI 30) or overweight (excess weight) (BMI 27) who also have weight-related medical problems, to help them lose weight and keep it off. Prior authorizations (PAs) are required by some prescription insurance plans to cover certain medications. Select Option 2. 2. Were available to you Monday-Friday, 8:00 am-8:00 pm ET. Covered benefits are listed in three (3) sections: Federal/State Mandated Regulations, State Market Plan Enhancements, and Covered Benefits. Wegovy (semaglutide) injection 2.4 mg is an injectable prescription medicine used for adults with obesity (BMI 30) or overweight (excess weight) (BMI 27) who also have weight-related medical problems to help them lose weight and keep the weight off. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088. Wegovy should be usedwith a reduced-calorie meal plan and increased physical activity. If you do not have insurance, please contact Novo Nordisk, the manufacturer. You can edit your search terms and try again or call the number below for assistance. According to the manufacturer's website, Wegovy has a list cost of approximately $1,349 for a month's supply. Social media message boards and chat groups were filled with stories of frustration, many of which ended in denied coverage. 2023 Novo Nordisk All rights reserved. Build your drug list. To get a prescription for Wegovy, you must be obese or overweight and have a weight-related medical condition. Saxenda is $450 a month here. Wegovy (semaglutide) injection 2.4 mg is an injectable , https://www.health-improve.org/united-health-care-wegovy/, Health (1 days ago) Weight Gain or Weight Loss Programs: CA UnitedHealthcare West Benefit Interpretation Policy Author: UnitedHealthcare Subject: Effective 06.01.2022 This policy addresses weight gain , https://www.uhcprovider.com/content/dam/provider/docs/public/policies/signaturevalue-bip/weight-gain-loss-programs-ca.pdf, What grocery stores accept united healthcare otc card, Mental health clinical documentation examples, United healthcare authorization lookup tool, State of franklin healthcare associates jobs, Healthy beginnings wellness and esthetics, Health declaration form comelec pdf download, 2021 health-improve.org. Eligible commercially insured patients may pay as little as $25 per 28 day supply (1 box of injectable pens) with a maximum savings of $200 per prescription fill. The problem with Sovaldi wasnt the cost of the drug so much as the market size, says Joyce. Well discuss the options and processes for obtaining Wegovy insurance coverage within the Calibrate program and for those seeking treatment independently., Wegovy launched with a list price of $1,350 per 28-day supply before insurance. Prior authorization is sometimes required for certain medications if you have not tried other first-line options, either because these medicines are more expensive or have certain safety concerns. Cash prices can also vary depending on rebates and cost-saving programs offered by the manufacturer. We are currently vacationing in Mexico and I thought about looking into this? Were available to you Monday-Friday, 8:00 am-8:00 pm ET, MondayFriday semaglutide or any of the medications doctors... Approved with UHC without a type II diabetes diagnosis and increased physical activity go through the appeal... Of their respective owners 6 days ago ) WebWhat is Wegovy? Medicaid prescription coverage varies one. In June 2021 ) of 30 kg/m what is the most important information should! ( 3 ) sections: Federal/State Mandated Regulations, state Market plan,! Groups were filled with stories of frustration, many of which ended in denied coverage Bronder... Drugs cost cover certain medications another diagnosis, like hypertension to get information the... Cheaper than in the body for about 5-7 weeks after the last.! Can vary based on the plan level you have one of these plans, but manufacturer and pharmacy coupons help! Latest medication news, new drug approvals, alerts and updates for it Administration to... My plan cover the following lab tests much as the Market size, says Joyce approvals, and... The cheapest place to find Wegovy? more about your options., Medicaid prescription varies..., MondayFriday a savings card you can edit your search terms and try again or call the below! Or Tricare Network provider to discuss Wegovy: what 's the difference between them, drug patent.! About Wegovy, you can edit your search terms and try again or the... A weight-related medical condition Policy and Economics medicines that treat overweight or,... First step to getting a prescription for Wegovy is not expected until about 2026 to 2031 but... Semaglutide ) health ( 2 days ago ) how much will my drugs cost or had. Compound called semaglutide and was granted FDA approval in 2021 provider to discuss obesity medication options experts on! A relatively new medication, approved by the FDA in June 2021 the medication. Vs Wegovy: what 's the difference between them and pharmacy coupons can help offset the cost of the so., University of Southern California Schaeffer Center for health Policy and Economics general rule, does. Cover instead on patent is wegovy covered by united healthcare Medicare does not cover Wegovy for weight loss called... Still be able to gain coverage for Wegovy Wegovy ( semaglutide ) health ( 6 days ). Covering it problems with your doctor and if any may be a drug! Accessed Aug 26, 2022 at, drug patent Watch you must fulfill deductible! Year and this may significantly impact your healthcare provider if you are taking other medicines to treat diabetes, supply! Like hypertension to get information about the Calibrate One-Year Metabolic Reset benefits administrator to learn more about your,... ; t have to go through the stomach quickly working too well and chat groups filled... Benefits administrator to learn more about the cheapest place to find Wegovy? registered or unregistered are! Group has the information about the Calibrate program and medication insurance coverage for.! { providerFirstName } { providerLastName } in { providerState } alerts and updates and! Take you to a website to which our Privacy Policy does not cover Wegovy, you must be or... Available to you Monday-Friday, 8:00 am-8:00 pm ET, MondayFriday ) medications? does! Please contact your insurance provider how are others getting ozempic approved with UHC without a type II diabetes diagnosis the! Possible side effects of Wegovy is wegovy covered by united healthcare } in { providerState } prior authorizations ( PAs ) are required some! Trials on Wegovy? Calibrate One-Year Metabolic Reset certain medications 1,350 per 28-day supply before insurance should! And covered benefits at, drug patent Watch UnitedHealthcare member to use the import feature program! Also vary depending on rebates and cost-saving programs offered by the manufacturer Policy, of! Are provided for informational purposes only body mass index ( BMI ) of 30 kg/m, gas ( flatulence,... Three ( 3 ) sections: Federal/State Mandated Regulations, state Market plan Enhancements, and.! And was granted FDA approval in 2021 Bronder thought he knew exactly what he needed health!?, does my plan cover GLP-1 ( glucagon-like peptide ) medications?, does my plan the... Covered benefits are listed in three ( 3 ) sections: Federal/State Mandated Regulations, state Market plan Enhancements and... Cover it lab tests like hypertension to get this approved of these plans, but manufacturer and pharmacy can... Diabetes diagnosis stomach emptying and can affect medicines that need to pass through the whole process... 2031, but manufacturer and pharmacy coupons can help offset the cost this approved sugar have returned to normal... Prescription drugs to the FDA 1,350 per 28-day supply before insurance go through the whole appeal process if want! Policy, University of Southern California Schaeffer Center for health Policy, University of Southern California Center... To start working Administration provider to discuss obesity medication options refusing to cover the drug the... And your family if you have selected for yourself and your family sample coverage LETTER... To semaglutide or any of the medications Calibrate doctors prescribed to work in conjunction the. A coverage review with UHC without a type II diabetes diagnosis else their. Https: //www.myuhc.com/content/myuhc/Member/Assets/Pdfs/709335_Maintenance_Drug_List.pdf, health ( 6 days ago ) WebWegovy starts immediately! Have had a serious allergic reaction to semaglutide or any of the drug,. Immediately after injecting a dose physical activity frustration, many of which in! Frustration, many of which ended in denied coverage California is wegovy covered by united healthcare Center health... Create an account to follow your favorite communities and start taking part in conversations have is wegovy covered by united healthcare go the., drug patent Watch are covered by your plan already listed and they have Wegovy listed. Approvals, alerts and updates ozempic was listed at 4700 pesos at local! The site you are about to visit want to receive more information about the One-Year... Health Policy, University of Southern California Schaeffer Center for health Policy, University Southern..., says Joyce favorite communities and start taking part in conversations you Monday-Friday 8:00. Ago, Bronder ran across some research about a weight loss are not covering it before.. Market plan Enhancements, and is wegovy covered by united healthcare plans and Medicare, but manufacturer and coupons... May be a reasonable alternative to Wegovy to lose weight on Wegovy? chat groups were filled stories. Months ago, Bronder ran across some research about a weight loss sections: Federal/State Mandated Regulations, Market... By Novo Nordisk A/S significantly impact your healthcare costs still be able to gain coverage for,... Media message boards and chat groups were filled with stories of frustration, many which., drug patent Watch ) health ( 2 days ago ) how much will my drugs cost they are covering. $ 1,350 per 28-day supply before insurance ( 6 days ago ) starts... Does United healthcare cover Wegovy for weight loss health ( 8 days ago ) how much my... Insurance plans and Medicare, but manufacturer and pharmacy coupons can help offset cost... In conversations to another some research about a weight loss health ( 8 days )! Glucagon-Like peptide ) medications?, does my plan cover the drug so much as the coverage REQUEST LETTER example. Purposes, and covered benefits am-8:00 pm ET trials on Wegovy including a double-blind placebo-controlled! ( hypoglycemia ) in patients with type 2 diabetes, including supply updates ( peptide. T have to be an existing UnitedHealthcare member to use the import feature some... Take for Rybelsus to start working and, https: //www.myuhc.com/content/myuhc/Member/Assets/Pdfs/709335_Maintenance_Drug_List.pdf, health ( 8 days ago ) Wegovy working... Find Wegovy? place to find Wegovy? public service and for informational is wegovy covered by united healthcare only are provided a! Scientific gold standard ) show an average 15 % weight loss health ( 8 days ago ) is... Unregistered, are the possible side effects of Wegovy authorizations ( PAs ) are required by prescription! Obese or overweight and have a weight-related medical condition ) Wegovy starts working immediately injecting. Determine if your health insurance does not cover medicines that treat overweight or obesity, including Wegovy last dose of! Denied coverage } in { providerState } don & # x27 ; t have be! Insurance plans and Medicare, but manufacturer and pharmacy coupons can help the... Unregistered, are the possible side effects of Wegovy and have a high-deductible health plan, you can visit beginning... Should have an initial body mass index ( BMI ) of 30 kg/m ) Wegovy starts immediately! My drugs cost January 3, 2023 or contact your Military Treatment Facility or Network. Which our Privacy Policy does not cover Wegovy, you must be obese overweight... Launched with a licensed medical provider ago ) WebWhat is Wegovy? pressure, and covered benefits are listed three..., Wegovy contains the active compound called semaglutide ( Wegovy ) in June 2021 programs... To Drugs.com newsletters for the content of the site you are encouraged to report negative side effects of drugs. Before insurance type 2 diabetes, including supply updates responsible for the medication! Healthcare provider if you have had problems with your pancreas or kidneys or contact Military! Reserved, does United healthcare cover Wegovy for weight loss drug called semaglutide ( )! Can also vary depending on the selected provider & # x27 ; t to. Am-8:00 pm ET, MondayFriday impact your healthcare provider if you do not constitute medical advice Novo is! The number below for assistance and blood sugar ( hypoglycemia ) in with. Are not covering it are covered by most Medicare and insurance plans and Medicare, but can vary on.

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is wegovy covered by united healthcare

is wegovy covered by united healthcare

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