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Self-funded employer plans add another layer the employer, not BCBS, makes the final formulary decisions, even though BCBS administers the claims

others may see more modest changes or may discontinue treatment due to side effects

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It is whether the specific pharmacy, formulation, salt form, and regulatory posture are transparent enough to evaluate, and whether the pricing gap against branded Ozempic or Wegovy justifies the variability in safety and legal standing

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