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Current law blocks Medicare weight-loss drug coverage Policy changes expected mid-2026 Medicaid coverage remains state-dependent What This Means for You Check your specific plan: Self-funded employers can still choose to cover Zepbound During open enrollment: Ask HR about 2026 GLP-1 coverage changes Consider alternatives: Wegovy is covered on most Aetna plans with similar efficacy Self-pay options: TrumpRx ($346/month), LillyDirect ($299-$449/month), or Foundayo (~$149/month oral GLP-1)
Hollander et al
However, they also emphasised the need for randomised clinical trials to confirm these real-world observations
Coverage for the office visit is a separate question from coverage for the medication, and we verify both before you start
US$ 29.00
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US$ 23.55
