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Coverage exists only in seven states with obesity treatment mandates (California, Delaware, Maryland, Massachusetts, New Jersey, New York, Virginia) and only on Gold or Platinum plans

The dosing structure below is built from each compound's own research and community practitioner reports

The European Food Safety Authority approved pasteurized Akkermansia as a novel food in 2021 (EFSA Journal, 2021)

Watch policy updates: Tirzepatide formulations for obesity (branded differently in some approvals) may change insurer policies over time
That said, 20% of a $100B market is still a sizable prize for other innovators, and continued innovation will only help patients

doi: 10.1111/dom.13206
