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A full one-third of the insurers higher spending was driven by high pharmaceutical outlays, and much of that was the cost and high volume of prescriptions for the blockbuster GLP-1 medications, which have long been used to treat diabetes but have become wildly popular to treat obesity

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The prevalence of GLP-1 agonist use is notably higher, reaching 43% among adults diagnosed with diabetes, 25% among those with heart disease, and 22% among those recently diagnosed as overweight or obese in the past five years