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Most Aetna plans require prior authorization, which means we must justify why Trulicity is medically necessary. Under Aetnas coverage criteria, you must have a diagnosis of Type 2 diabetes and may not have received a maintenance dose of any other GLP-1 receptor agonist (such as Ozempic or Victoza) for at least three months in order to be approved for a Trulicity prescription

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Though you will still absorb some L-Carnitine if taken with food, either form will be more noticeable if taken on an empty stomach