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Example 2: If a member has a reference cost ceiling of $600 for a CT scan and the allowable amount is $400, then Highmark will pay up to the $400 for the procedure

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Zepbound (Tirzepatide): Tirzepatide is a dual agonist, targeting both GLP-1 and GIP (glucose-dependent insulinotropic polypeptide), which further enhances weight loss by regulating appetite and energy balance