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Is compounded tirzepatide from Orderly Meds the same as Zepbound or Mounjaro

The article places most of them in the specialty or high-cost tier, and says branded GLP-1s commonly land in Tier 3

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Some patients may experience serious adverse reactions: acute pancreatitis (symptoms include persistent severe abdominal pain, sometimes radiating to the back and accompanied by vomiting), hypoglycemia, renal impairment (which may sometimes require hemodialysis)