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While these forms share the same base series code (GL5197E), each contains unique clinical criteria tailored to the medication's approved uses: For Mounjaro (Tirzepatide): Use the Manulife Group Benefits Drug Prior Authorization Form Mounjaro (Tirzepatide) (GL5197E)

This structured approach ensures that each treatment stays effective and aligned with the users response over time

It was designed to tackle inflammation, tissue damage, and impaired healing all at once

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These regenerative benefits are backed by emerging clinical data