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Table 2: Novo Nordisk gross and net sales globally Source: Novo Nordisk 2023 annual report Notably, Novo does not separate commercial health plans from Medicare in its filing, but Wegovys favorable commercial coverage does not appear to extend to Medicare plans and those on the health insurance exchange, which may reflect payers attempt to avoid adverse selection or a decision by the manufacturer to not rebate as heavily in this channel

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These findings reinforce an important principle: greater pharmacologic strength does not always translate to optimal individual outcomes

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