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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.
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