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Specifically: North Dakota updated its essential health benefit (EHB) benchmark plan under the Affordable Care Act to require, beginning in 2025 , prescription drug coverage of GLP-1s and GIPs as therapy for prevention of diabetes and treatment of insulin resistance, metabolic syndrome or morbid obesity

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The landmark phase 2 trial published in the New England Journal of Medicine used a structured escalation from 1mg through to 12mg per week across six separate dose arms, with participants achieving up to 24.2% body weight reduction at the highest escalation

And of course, let's be honest, health and longevity is the long game

Real-world data shows that roughly 40-50% of requests for branded GLP-1 coverage face initial denial or require step therapy, meaning patients often wait weeks before approval or must absorb out-of-pocket costs upfront