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Is There a Good Way to Get Primary Prevention Covered?
In primary prevention individuals with LDLs above 190 this group is enriched with those who have familial hypocalistrolemia. Patients with diabetes over the age of 40 should have be at least on a moderate Tennessee statin. If they have risk factors, high intensity statin and then individuals who are above 20% 10 year risk score. Those also are indication for high intensity statins. And then individuals you know again as part of a risk discussion who we think are at high enough risk after a patient clinician risk discussion. The patients often have to pay out of pocket something like two or three hundred dollars.