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CMS Issues Coverage Guidance on GLP-1 Anti-Obesity Drugs: Implications for Health Plans Posted on April 5, 2024 CMS Issued Coverage Guidance on GLP-1 Anti-Obesity Drugs Requiring Considerations for Health Plans GLP-1s (glucagon-like peptide 1 agonist) came up in the news again after the Centers for Medicare and Medicaid Services (CMS) issued coverage guidance on GLP-1 anti-obesity drugs with expanded indications on March 20, 2024.* Since the inception of Medicare Part D, drugs used for weight loss have been excluded from basic coverage

Serious side effects are rare but can include pancreatitis signs (severe abdominal pain) or thyroid issues

This medication may help: Improve satiety Support metabolic balance Enhance weight loss response Improve blood sugar regulation Support long-term weight management Both medications are most effective when combined with lifestyle changes such as nutrition, movement, and ongoing medical guidance

For example, one study found evidence that a GLP-1 medicine called tirzepatide, that is sold under the brand name of Mounjaro had a greater impact on absorption of oral hormonal contraceptives than other GLP-1 medications

Today, nearly all GLP-1 drugs come in an injectable form

How Much Weight Can You Expect to Lose with the GLP-1 program