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Ericka L. Adler, J.D., a shareholder and manager of the health care group at Roetzel & Andress, joins the show to discuss the hidden risks of prescribing GLP-1 medications — like semaglutide and tirzepatide — that physicians need to know, from ensuring informed consent to navigating long-term safety data. Music Credits: After Hours by Yigit Atilla - stock.adobe.com (http://stock.adobe.com/) Relaxing Lounge by Classy Call me Man - stock.adobe.com (http://stock.adobe.com/) COCKTAIL by Mythical Audio - stock.adobe.com (http://stock.adobe.com/) Editor's note: Episode timestamps and transcript produced using AI tools. **Introduction and Overview (00:00:00)** Brief mention of compliance issues and the evolving legal landscape for prescribing GLP-1 drugs. **Podcast Introduction (00:00:29)** Host introduces the episode, speakers, and main topics: legal risks, informed consent, and safety data for GLP-1 drugs. **Guest Introduction (00:01:05)** Introduction of EricKa Adler and the focus on GLP-1 drug risks. **Liability Risks for Prescribing GLP-1 Drugs (00:01:19)** Discussion of primary legal risks, compliance with state and federal laws, and proper office setup. **Off-Label Use Legal Concerns (00:02:49)** Explains legal concerns with off-label prescribing and how to mitigate risks through documentation and informed consent. **Informed Consent Specifics for GLP-1 Drugs (00:05:53)** Importance of tailored, robust informed consent forms for GLP-1 drugs, especially for off-label use. **Compounded Versions and Legal Risks (00:07:57)** Legal risks of prescribing compounded GLP-1 drugs, including contamination, misbranding, and advertising issues. **Insurance Denials and Prior Authorizations (00:11:26)** Challenges with insurance coverage, prior authorizations, and evolving insurer policies for GLP-1 prescriptions. **Telemedicine and Prescribing GLP-1 Drugs (00:14:10)** Legal risks and compliance requirements for prescribing GLP-1 drugs via telemedicine, including licensure and administration rules. **Long-Term Safety and Liability Concerns (00:16:59)** Emerging liability concerns regarding long-term safety and adverse effects, and the importance of malpractice coverage. **Financial Relationships with Pharmaceutical Companies (00:20:10)** Legal and ethical concerns for physicians with financial ties to GLP-1 drug manufacturers, including anti-kickback laws. **Regulatory Changes and Evolving Landscape (00:21:40)** Recent and anticipated legal or regulatory changes, state vs. federal oversight, and the need for ongoing compliance. **Conclusion and Closing Remarks (00:25:02)** Thanking the guest, closing the episode, and providing subscription information.

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