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Medicare to Cover Wegovy for Heart Disease Risk, Not Weight Loss

The FDA-approved weight loss drug will now be accessible to Medicare enrollees at risk of heart disease, following a landmark clinical trial.

  • Medicare expands coverage to include the weight loss drug Wegovy for patients at risk of heart disease, following FDA approval.
  • Wegovy, a GLP-1 agonist, has gained popularity for its ability to reduce appetite and manage weight, but Medicare will only cover it for heart disease prevention.
  • The decision is based on a clinical trial showing Wegovy reduces the risk of heart problems in overweight individuals by 20%.
  • State Medicaid plans are also required to cover Wegovy for heart disease risk reduction, aligning with Medicare's new policy.
  • The coverage change could significantly increase access to Wegovy for millions of Americans, despite concerns about its high cost.
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