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CVS/MedImpact, regional Blues PBMs) have analogous policies: standard BMI thresholds, diet/exercise verification, and often a requirement to try older weight-loss drugs (like phentermine or orlistat) before GLP-1 coverage
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GLP-1s are currently being studied for addiction, polycystic ovary syndrome (PCOS), and pre- and post-menopause weight issues
While the current body of evidence provides a strong foundation for the use of semaglutide in clinical practice, ongoing studies are essential to fully understand its long-term effects, optimize dosing strategies, and explore its full potential in managing not just diabetes and obesity but also their associated health conditions
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