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Plan Coverage of GLP-1s for Weight Loss: Compliance Considerations (PDF)
Mercer 
[Guidance Overview] July 25, 2025 16 pages. "High cost and increasing demand for GLP-1s for weight management has many employers considering cost-containment measures for coverage in their employer-sponsored group health plans. Popular measures include strict preauthorization requirements, contemporaneous weight management program participation and other utilization management techniques, cost-sharing adjustments, prescription drug plan steering, and coverage exclusions. This GRIST reviews general compliance considerations for each approach and presents additional considerations." MORE >> |
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