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References Alkabbani, W., Zongo, A., Minhas-Sandhu, J

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Key Coverage Facts Coverage varies significantly by plan even within the same insurer, different employer plans have different formularies Coverage varies by employer size: 16% of mid-size employers (200-999 workers), 30% of large employers (1,000-4,999), and 43% of very large employers (5,000+) cover GLP-1 medications for weight loss [1] More than 88% of patients with coverage face prior authorization or other restrictionsyour doctor must get approval before you can fill it Medicare Part D excludes weight loss drugs by federal statute (may cover for CV risk reduction indication) About a dozen state Medicaid programs cover GLP-1s for obesity, though policies are evolving [2] Coverage by Plan Type Already denied