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They need to adapt reimbursement models and value frameworks to accommodate these often complex, high-cost therapies, balancing innovation with sustainability

Ozempic, also known as semaglutide (a GLP-1 agonist), is a daily or weekly injection approved for diabetes management since 2017

Many patients do extremely well using standard once-weekly dosing

20 22 For example, among patients with Medicare Advantage and private insurance, those in the highest quartile of out-of-pocket costs (75th percentile or above) were 13% less likely to initiate GLP-1 RA therapy than those in the lowest quartile (25th percentile or below)

Insurance coverage could be a game changer

Ozempic vs Wegovy: How Are They Different