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TOP THE GUIDELINES AND PROTOCOLS ADVISORY COMMITTEE The principles of the Guidelines and Protocols Advisory Committee are to: encourage appropriate responses to common medical situations recommend actions that are sufficient and efficient, neither excessive nor deficient permit exceptions when justified by clinical circumstances Contact Information: Guidelines and Protocols Advisory Committee PO Box 9642 STN PROV GOVT Victoria BC V8W 9P1 Email: [email protected] Website: www.BCGuidelines.ca Disclaimer The Clinical Practice Guidelines (the Guidelines) have been developed by the Guidelines and Protocols Advisory Committee on behalf of the Medical Services Commission

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TIER PLANS TIER 1 (6mg total) $275 total for 8-10 week supply Monthly cost breakdown: $110-$137 based on weekly dose Recommended if new to treatment or for those on 0.2-0.7mg/week TIER 2 (16mg total) $345 total for 8-10 week supply Monthly cost breakdown: $138-$172 based on weekly dose Recommended for those on 0.8-2mg/week TIER 3 (20mg total) $380 total for 8-10 week supply Monthly cost breakdown: $152-$190 based on weekly dose Recommended for those on 2mg/week and up Boudreaux Pharmacy - Semaglutide/Glycine Injection (NEW) Up to 90 days BUD