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Chair, Vanita R. Aroda, MD, discusses type 2 diabetes mellitus in this CME activity titled “Determining Which Patients Will Benefit From GLP-1 RAs: Applying Guidelines and Evidence to Individualize Treatment Decisions in T2DM.” For the full presentation, downloadable Practice Aids, and complete CME information, and to apply for credit, please visit us at PeerView.com/KMJ865. CME credit will be available until July 15, 2022.

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Ericka L. Adler, J.D., a shareholder and manager of the health care group at Roetzel & Andress, joins the show to discuss the hidden risks of prescribing GLP-1 medications — like semaglutide and tirzepatide — that physicians need to know, from ensuring informed consent to navigating long-term safety data. Music Credits: After Hours by Yigit Atilla - stock.adobe.com (http://stock.adobe.com/) Relaxing Lounge by Classy Call me Man - stock.adobe.com (http://stock.adobe.com/) COCKTAIL by Mythical Audio - stock.adobe.com (http://stock.adobe.com/) Editor's note: Episode timestamps and transcript produced using AI tools. **Introduction and Overview (00:00:00)** Brief mention of compliance issues and the evolving legal landscape for prescribing GLP-1 drugs. **Podcast Introduction (00:00:29)** Host introduces the episode, speakers, and main topics: legal risks, informed consent, and safety data for GLP-1 drugs. **Guest Introduction (00:01:05)** Introduction of EricKa Adler and the focus on GLP-1 drug risks. **Liability Risks for Prescribing GLP-1 Drugs (00:01:19)** Discussion of primary legal risks, compliance with state and federal laws, and proper office setup. **Off-Label Use Legal Concerns (00:02:49)** Explains legal concerns with off-label prescribing and how to mitigate risks through documentation and informed consent. **Informed Consent Specifics for GLP-1 Drugs (00:05:53)** Importance of tailored, robust informed consent forms for GLP-1 drugs, especially for off-label use. **Compounded Versions and Legal Risks (00:07:57)** Legal risks of prescribing compounded GLP-1 drugs, including contamination, misbranding, and advertising issues. **Insurance Denials and Prior Authorizations (00:11:26)** Challenges with insurance coverage, prior authorizations, and evolving insurer policies for GLP-1 prescriptions. **Telemedicine and Prescribing GLP-1 Drugs (00:14:10)** Legal risks and compliance requirements for prescribing GLP-1 drugs via telemedicine, including licensure and administration rules. **Long-Term Safety and Liability Concerns (00:16:59)** Emerging liability concerns regarding long-term safety and adverse effects, and the importance of malpractice coverage. **Financial Relationships with Pharmaceutical Companies (00:20:10)** Legal and ethical concerns for physicians with financial ties to GLP-1 drug manufacturers, including anti-kickback laws. **Regulatory Changes and Evolving Landscape (00:21:40)** Recent and anticipated legal or regulatory changes, state vs. federal oversight, and the need for ongoing compliance. **Conclusion and Closing Remarks (00:25:02)** Thanking the guest, closing the episode, and providing subscription information.

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