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Prescription denials for diabetes and weight-loss drugs under commercial, Medicare, and Medicaid plans from 2018 to 2024

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Abstract

Access to GLP-1 receptor agonists is strongly influenced by payer coverage and utilization management.

  • Patient-level evidence regarding denial of GLP-1 receptor agonists across different payer types is limited.
  • The coverage policies of payers can significantly affect the availability of GLP-1 receptor agonists for patients.
  • Utilization management practices may restrict patient access to GLP-1 receptor agonists.

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