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Over time, this chronic immune attack results in a gradual loss of functional thyroid tissue, with the clinical course typically progressing from an initial euthyroid state to subclinical hypothyroidism and, in a subset of patients, overt hypothyroidism requiring lifelong thyroid hormone replacement [13,14]

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Most are expected to follow CVS Caremark (covering Wegovy) Some may have different PA requirements Check with HR during open enrollment for any changes Medicare/Medicaid Policy Changes Medicare Part D policy changes are expected mid-2026 that could expand GLP-1 coverage

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31 for Wegovy, Zepbound, Saxenda, Qsymia, Phentermine and Contrave, affecting coverage of those drugs for weight-loss purposes
