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We estimate weve generated between 10 to 15 percent of additional savings across the class for our clients, based on our successful negotiations with both manufacturers, said Blando, who said that both Wegovy and Zepbound will have the same copay

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Policy changes like the Inflation Reduction Acts $2,000 out-of-pocket (OOP) cap for Medicare Part D beneficiaries may offer some relief, as patients who reach the cap pay $0 thereafter, but they also risk prompting payers to tighten coverage for high-cost drugs, especially those indicated for obesity

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But in practice, tiered pricing often costs more than flat-rate for patients who need moderate to high doses