BCBS drug tiers may include: Tier 1: typically includes preferred generic drugs Tier 2: typically includes non-preferred generic drugs Tier 3: typically includes preferred brand name drugs Tier 4: typically includes non-preferred brand name drugs Tier 5: typically includes specialty drugs Tier 6: typically includes non-preferred specialty drugs Prior authorization Many BCBS plans require prior authorization for Wegovy
But somewhere in the transition from skincare ingredient to TikTok trend, copper peptides picked up a reputation for hair too
Flags theoretical pathologic angiogenesis potential: PMC12446177 Evidence Summary Preclinical: IBD/colitis models: High remission rates, restored mucosal architecture, improved barrier function Tendon repair: Accelerated healing, improved tensile strength, reduced fibrosis Neurovascular: Sciatic nerve protection, enhanced blood vessel growth in nerve tissue Human data (emerging): Interstitial cystitis pilot (2024, n=12): 10/12 complete resolution, 2/12 at 80% improvement IV safety study (2025, n=2): no adverse effects on cardiac, hepatic, renal, or glucose biomarkers Knee pain retrospective (2021, n=17): 91.6% reported significant improvement No large-scale controlled trials published Safety: No immunosuppression or hormonal disruption in available data 2025 systematic review (HSS Journal): recommends caution due to limited high-quality clinical evidence 2025 narrative review: flags theoretical pathologic angiogenesis risk Stable in gastric acid (oral administration viable) No observed toxicity at therapeutic doses in published reports Foundational Reviews Sikiric P, Seiwerth S, et al
Avoid all research peptides during pregnancy and lactation
Here are the specific concerns: Victor Herbert published dozens of papers from 1958 to 2003
