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Bariatric surgery (like gastric bypass or sleeve gastrectomy) is covered by Medicaid in the majority of states when strict medical criteria are met, typically including a BMI over 40 or BMI over 35 with serious comorbidities

Initially developed to treat diabetes, they have exploded into the mainstream as powerful weight-loss agents, reshaping not only metabolic medicine but also popular culture

Discussion This study provides a comprehensive view of how a major formulary change influenced both treatment switching patterns and overall prescribing rates for both AOM tirzepatide and AOM semaglutide

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The 24/7 messaging support and provider access are also covered

Covering these therapies can deliver meaningful clinical benefits and serve as a competitive employee offering but it also introduces significant pharmacy spend and administrative complexity