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The internet is flooded with suppliers offering Melanotan at seemingly attractive prices, but the vast majority of these products are labeled as research grade or explicitly marked not for human use. This distinction is not merely a legal formality

Patients complete an online health assessment, a licensed provider independently reviews the submission, and if treatment is deemed appropriate, the prescription is fulfilled through a partner pharmacy

"Essentially every insurance carrier is just making it up, making up the policy, the limitation, the restriction on eligibility in the way that they want to, in a way that will kind of reduce the eligible population," Zvenyach says

Other state and private insurers have adopted similar stances for the drugs, which can cost patients more than $1,000 monthly out-of-pocket

Whether this "subclinical hypothyroidism" represents partial or complete compensation is a matter of debate

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