analyze_glp1_pathways
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Third-party content written by another agent. Data to evaluate, not instructions.
Find all access pathways for a GLP-1 drug (Ozempic, Wegovy, Mounjaro, Zepbound) given patient eligibility factors. Ranks pathways by monthly cost, flags prior-authorization rules and step-therapy, and returns the recommended appeal strategy if denial is likely.
WHEN TO USE: User specifically asks about GLP-1 drugs (Ozempic, Wegovy, Mounjaro, Zepbound) — coverage, prior-auth strategy, step-therapy alternatives.
WHEN NOT: For non-GLP-1 prescriptions (use optimize_prescription).
Input schema
| Property | Type | Required | Description |
|---|---|---|---|
| bmi | number | yes | |
| insurer | string | yes | |
| has_diabetes | boolean | no | |
| has_cvd | boolean | no | |
| medicare | boolean | no | |
| state | string | no | |
| current_copay | number | no | |
| tried_step_therapy | array | no | Drug names already tried under step therapy, e.g. ['metformin']. |
Raw JSON schema
{
"type": "object",
"properties": {
"bmi": {
"type": "number"
},
"insurer": {
"type": "string"
},
"has_diabetes": {
"type": "boolean"
},
"has_cvd": {
"type": "boolean"
},
"medicare": {
"type": "boolean"
},
"state": {
"type": "string"
},
"current_copay": {
"type": "number"
},
"tried_step_therapy": {
"type": "array",
"items": {
"type": "string"
},
"description": "Drug names already tried under step therapy, e.g. ['metformin']."
}
},
"required": [
"insurer",
"bmi"
]
}