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Major Insurance Changes Are Coming for Weight Loss Drugs. Here’s How It Could Affect Patients

  • CVS Caremark will stop covering Eli Lilly's Zepbound starting Tuesday, requiring patients to pay full cost for refills after July 1, 2025.
  • This decision follows a letter sent in May explaining coverage removal due to an alternative medication, Wegovy, which remains covered and may cost less.
  • Patients and providers express frustration as adapting to insurance changes disrupts individually tailored treatment plans for GLP-1 obesity drugs like Zepbound and Wegovy.
  • Data show about 63% of patients persisted with these treatments for at least one year, yet only 14% continue beyond three years, highlighting challenges in long-term adherence.
  • The shift may pressure manufacturers to lower drug prices, but patients worry about accessibility and state that insurance coverage changes add stress and undermine obesity as a chronic disease.
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cnybj.com broke the news in on Tuesday, July 1, 2025.
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