Why it may become harder to get coverage for GLP-1 weight-loss drugs

Insurance coverage for GLP-1 weight-loss drugs varies by health plan, with some plans covering the medications and others declining to do so. The cost difference between covered and uncovered scenarios can reach several hundred dollars per month for patients. GLP-1 drugs including semaglutide and tirzepatide are used for weight management and type 2 diabetes treatment. Insurance companies have cited factors including cost, clinical guidelines, and formulary restrictions in their coverage decisions.

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