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Dont Forget Your PBM One of the biggest mistakes employers make is focusing only on whether to cover GLP-1 medications while overlooking their Pharmacy Benefit Manager (PBM)
GLP-1 injectables may be considered when you meet BMI criteria (typically 30 or higher, or 27 or higher with weight-related health conditions), you are comfortable with weekly self-injection, and your health profile does not include contraindications for GLP-1 medications
But, it can change based on how bad the deficiency is and what the patient needs
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adults (~32 million people) have taken GLP-1 medications ( [1] ), and roughly 4% of all Americans (~13 million) were on a GLP-1 drug in 2024 ( [2] )
Those who fail on multiple points should be avoided for bulk purchases, regardless of pricing
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