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Participants with the highest body mass index (BMI) values (40 or above) were most likely to access semaglutide, which is not surprising given that this group has the highest risk for developing further metabolic diseasebut Podolsky says it reflects a trend that physicians may be restricting GLP-1 drugs to patients with the highest weight, and solely recommending lifestyle interventions to patients with BMI values of 35 or less
Medicare would cover semaglutide when it was prescribed as Ozempic for type 2 diabetes, but it would not cover the same molecule, at a different dose, under the brand name Wegovy for obesity
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Meanwhile, Stelarathis years big pharmacy benefit biosimilar launchremains on the PBMs formularies, but will share space with PBMs private label products
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