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The fact that covering GLP-1s under Medicare Part D for authorized uses is already making a mark on total Part D program spending could be a sign of even higher spending to come as Part D plans are now able to cover Wegovy for its heart health benefits, as other uses for GLP-1s are approved, and as policymakers consider legislation that would authorize Medicare to cover obesity drugs

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Like most insurance-driven systems, they excel at acute and chronic disease management but are ill-suited to proactive, optimization-focused metabolic and hormonal care