best practices capping reimbursement glp-1 drugs wellness stipend How to Build a Weight Management Medicare GLP-1 Drug Coverage -

Most commercial insurance plans require prior authorization for GLP-1s used for weight loss, and most demand documentation of BMI plus a prior attempt at structured weight management

GLP-1 receptor agonists and cardiovascular outcome trials: An update

Diabetes 66 (5), 12721285

BMJ 347 , f5934 (2013)

KFFs report says two-thirds of the states whose programs use private insurers said they sought federal approval to amend their rates to account for higher-cost members

With the thought that GLP-1s would help resolve health disparities, differences in ability to pay may deepen existing health disparities and prevent marginalized communities from benefiting from these potentially life-changing drugs