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Starting at 0.25 mg weekly and escalating every 4 weeks allows dose adjustment to tolerability while gradually engaging GLP-1 and GIP pathways

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For employers operating on tight benefit budgets, thats an untenable increase to absorb especially when utilization consistently came in higher than projected. In conversations documented by the Kaiser Family Foundation and Peterson Center on Healthcare, employers described trying multiple cost-management strategies step therapy requirements, prior authorization, weight-loss program prerequisites before ultimately concluding that no guardrail was controlling the spend fast enough. Importantly, the law doesnt require employers to offer GLP-1 coverage

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