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The state obesity drug coverage landscape will continue to evolve as states respond to the recent announcement of the BALANCE model (see Box 1) and as states contend with budget challenges and the federal Medicaid spending cuts in the 2025 reconciliation law

Or you can prepare to pay for your prescription out of pocket

GLP-1 drugs like Semaglutide demonstrated significant weight loss benefits for patients with a BMI over 40, making them a preferred option for managing high-risk obesity cases

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Combining them - especially fasted, with metformin, or with berberine - can produce more hypoglycemia than either compound alone