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Employers Face Dilemmas Over Coverage of Weight-Loss Drugs Amid Soaring Costs

As the demand for GLP-1 weight-loss drugs like Wegovy and Zepbound increases, employers grapple with insurance coverage decisions, balancing employee health benefits against significant financial implications.

  • Many U.S. companies are struggling with health insurance coverage for GLP-1 weight-loss drugs, facing high costs and lack of long-term data on effectiveness.
  • Novo Nordisk and Eli Lilly's weight-loss drugs have seen soaring prescription volumes, with Novo Nordisk acquiring Catalent to boost manufacturing capacity.
  • A survey found 76% of companies provided GLP-1 drug coverage for diabetes, but only 27% for weight loss, highlighting the coverage gap.
  • Employers implementing coverage face annual costs of $18,000 per employee, prompting some to reconsider or restrict coverage.
  • Novo Nordisk penalizes employers for limiting drug use, leading to coverage challenges and disputes over discounts with pharmacy benefit managers.
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