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Both public and private payers use cost containment policies to control the amount and mix of drugs included under the prescription drug benefit, which may be administered by a pharmacy benefit manager, or PBM

BMJ 388:e080679

GLP-1 agonists, such as semaglutide (Ozempic, Wegovy), dulaglutide (Trulicity), and exenatide (Byetta), affect the body in several ways

Insurance companies often have additional requirements beyond BMI to establish medical necessity and determine whether treatment aligns with the plan's coverage policies

These findings also suggest that cardiac risk assessments are essential in MASLD, particularly in lean individuals