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However, the announcement from health officials says the new low prices for the federal insurance program will enable Medicare to cover Wegovy and Zepbound for patients with obesity and related comorbidities [co-occurring diseases] for the first time. Beneficiaries who will be eligible for lower-cost GLP-1 medications include individuals with a body mass index (BMI) of 27 or greater who have prediabetes or a history of cardiovascular disease
Personal or family history of medullary thyroid carcinoma or MEN2: do not use semaglutide
At a population level, the age-adjusted rate for first hospitalization for heart failure (HHF) in patients with T2D ranges from 4.5 to 9.2 per 1000 person-years, depending on the degree of glycemic control, which is 24 times higher than the general population [1]
These are practical barriers, but they are also adherence barriers
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