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Employers should take proactive steps now to evaluate cost management and cost-sharing strategies to navigate these challenges.

![Figure][1] ### Competing Interest Statement The authors have declared no competing interest

Thirteen state Medicaid programs are covering GLP-1 drugs for the treatment of obesity this year, down from 16 last year.

Updating our priors after the one-year anniversary of our original GLP-1 Primer

Rosen, MD, and Julie Ingelfinger, MD, from Tufts University School of Medicine and the Maine Medical Center Institute for Research (MaineHealth):

GLP-1 medications such as Ozempic, Wegovy, Mounjaro, and Zepbound have rapidly transformed the management of diabetes and obesity, becoming some of the most requested treatments within employer-sponsored health plans