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As one payer wrote, Our organization currently does not cover medications used solely for weight loss, and the obesity comorbidities are handled using our medical exception criteria that we internally develop for each expanded indication. Commercial Plans: Commercial insurers have traditionally been cautious about covering high-cost medications, especially those related to weight management

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Discontinuing an evidence-based IBD therapy like a biologic in favor of an unregulated peptide carries an exceptionally high risk of inducing a severe, uncontrolled disease flare that could lead to hospitalization or surgery

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When semaglutide is prescribed for weight management, coverage becomes much less predictableeven though Wegovy is FDA-approved for that purpose

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