Wegovy Approved for Heart Health, Faces Insurance Coverage Challenges
The FDA's expanded approval of Wegovy for cardiovascular benefits in obese adults doesn't guarantee broader insurance coverage due to cost concerns.
- Wegovy, a popular weight loss drug, now also approved in the U.S. for reducing serious cardiovascular risks in obese adults.
- Despite its new health benefits, insurance coverage for Wegovy remains uncertain, with many employers and health plans wary of its high cost.
- State Medicaid programs are required to cover Wegovy for its new use, but weight loss treatments can be excluded, leading to a patchwork of coverage.
- North Carolina plans to drop coverage for GLP-1s used for weight loss, including Wegovy, due to financial constraints.
- The Centers for Medicare and Medicaid ServicesFDA's expanded approval of Wegovy, potentially leading to Medicare coverage.