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Even in states that do cover GLP-1s for weight loss, Medicaid beneficiaries typically must meet additional requirements, which may include: A Body Mass Index (BMI) above a certain threshold (often 30+, or 27+ with a related condition) A documented diagnosis of obesity or overweight with a comorbidity Prior authorization approval Proof that lifestyle interventions have been tried and failed State-by-State: How Medicaid GLP-1 Coverage Varies Coverage falls into three broad categories depending on your state: Full Coverage (Diabetes + Obesity) A smaller group of states cover GLP-1s like Ozempic and Wegovy for both Type 2 diabetes and obesity

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In a poll where Sermo members shared their biggest concern when prescribing GLP-1 drugs, muscle loss/frailty was the third most popular answer, with 19% of votes

Any decision to continue or discontinue therapy should be made collaboratively between patient and provider, considering the totality of available evidence and individual circumstances