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Olivas-Rasmussen
Writing sample

MLR claim substantiation review

A reviewer-style check of six claims on a real HCP web page against the prescribing information and clinical trial papers, including the fair-balance and trademark issues I would flag before submission.

Independent practice exercise
Claim substantiation review

Source page: Ozempic® HCP website (NovoMedLink), “Pen A1C & Weight” page. Accessed October 13, 2026.

Each claim was traced to its cited source, checked for accuracy and context, and annotated with the notes a Medical, Legal, or Regulatory reviewer would raise. References are renumbered from the original page.

#Claim (as written)RefLocationSupported?Reviewer note
1The most common adverse reactions reported in ≥5% of patients treated with Ozempic® injection are nausea, vomiting, diarrhea, abdominal pain, and constipation1Ref 1 (PI): Highlights, Adverse Reactions; Section 6.1, Table 1YesPopulation differs from the SUSTAIN FORTE table above, but the claim is labeled ‘In placebo-controlled trials.’ No change needed.
2Incidence of severe hypoglycemia was ≤1.5% across all placebo-controlled trials1Ref 1 (PI): Section 6.1, Table 2YesSupported by Table 2 (maximum 1.5%, Ozempic 1 mg added to basal insulin). Fair balance: Section 6.1 also reports severe hypoglycemia in 0.8% and 1.2% of patients on Ozempic 0.5 mg and 1 mg with a sulfonylurea. Consider adding context that hypoglycemia risk increases with insulin or sulfonylureas.
3SUSTAIN FORTE Ozempic 1 mg vs 2 mg: mean change in A1C from baseline at Week 40 in patients with type 2 diabetes on metformin ± sulfonylurea1Ref 1 (PI): Section 14.1, Table 7YesData supported by Section 14.1, Table 7 (primary endpoint). Trial name ‘SUSTAIN FORTE’ is not in the PI. Also cite the Frías paper for the trial name.
4Gastrointestinal adverse reactions occurred more frequently among patients receiving Ozempic® injection 2 mg (34.0%) vs Ozempic injection 1 mg (30.8%)1, 2Ref 1 (PI): Section 6.1 (GI adverse reactions)
Ref 2 (Frías 2021): Table 3
Yes“More frequently” is acceptable, but do not imply statistical significance; these values were not statistically compared.
5SUSTAIN 4: Head-to-head vs Lantus® (insulin glargine U-100)1, 3Ref 1 (PI): Section 14.1, Table 6
Ref 3 (Aroda 2017): Section 2, Materials and Methods
YesLegal: the source does not name Lantus; determine appropriate trademark treatment.
Medical: the trial was open-label. Head-to-head claims usually need that context nearby.
6SUSTAIN 5: As an add-on to basal insulin vs placebo1, 4Ref 1 (PI): Section 14.1, Table 8
Ref 4 (Rodbard 2018): Materials and Methods
YesSUSTAIN 5 is not named in the PI. Cite Rodbard 2018, which names the trial.
References 1. Ozempic® injection [package insert]. Plainsboro, NJ: Novo Nordisk Inc. Revised 05/2026. 2. Frías JP, et al. SUSTAIN FORTE. Lancet Diabetes Endocrinol. 2021;9(9):563-574. 3. Aroda VR, et al. SUSTAIN 4. Lancet Diabetes Endocrinol. 2017;5(5):355-366. 4. Rodbard HW, et al. SUSTAIN 5. J Clin Endocrinol Metab. 2018;103(6):2291-2301. Independent practice exercise. Not affiliated with or endorsed by Novo Nordisk. Ozempic® is a registered trademark of Novo Nordisk A/S. Lantus® is a registered trademark of Sanofi.
ForHealthcare ad agencies, MLR and promo teams
ShowsClaim-to-reference mapping, Medical and Legal flags
FormatThe table a submitter hands to MLR reviewers