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Pfizer and AstraZeneca recently agreed to lower the cost of prescription drugs for Medicaid after an executive order in May set a deadline for drugmakers to electively lower prices or face new limits on what the government will pay

It showed that the relative risks for aspiration, aspiration pneumonia, pneumonia, or respiratory failure were not elevated in patients prescribed GLP-1 RA compared to those receiving dipeptidylpeptidase-4 (DPP-4) inhibitors [21]

Many plans also require: Prior authorization Documentation of medical necessity Records of previous weight-management efforts Ongoing monitoring by a healthcare provider Some plans may require step therapy, meaning lower-cost treatments must be tried before Wegovy is approved

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Even though most GLP-1 users say their insurance covered at least some of the cost, over half (56%) of users say these drugs were difficult to afford, including one in four who say they were very difficult to afford