does cigna insurance cover glp 1 Wegovy, Ozempic, Mounjaro & Zepbound? Navigating Insurance Coverage for GLP-1

Wolfe, R

While offering a much-need treatment option for patients, this class of drugs rang alarm bells for payers once the budget impact was calculated at an annual cost of nearly $18,000, based on wholesale acquisition cost combined with an adult obesity prevalence rate of 41.9% in 2017 (National Health and Nutrition Examination Survey, 2020)

In contrast, the effect on cardiovascular death did not reach at the statistical significance (HR 0.82, 95% CI 0.571.16), possibly due to lower event rate

This inhibition of gastric emptying (quantified through scintigraphy, stable-isotope breath testing, and capsule endoscopy) translates into a 3040% prolongation in the half-time of solid gastric evacuation compared to placebo [5,6]

The vomiting rate of approximately 21% is particularly notable, as it approaches one in five users

Conversely, our analysis suggests that use of GLP-1 RAs is unlikely to be cost-effective from a healthcare or societal perspective (based solely on their cardiovascular benefits) in either population at current prices