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Most recent policy updates reviewed: December 2025 Government Programs: What's Changing Medicare Coverage Expanding Medicare coverage for Wegovy is expanding for eligible beneficiaries: January 2027: Under the CMS BALANCE Model, Medicare Part D will cover obesity medications including Wegovy CMS program: Eligible Medicare beneficiaries will pay $50/month for GLP-1 medications under the BALANCE demonstration Current: Wegovy can be covered for CV risk reduction indication (not weight loss) Medicaid Coverage: State-by-State About a dozen state Medicaid programs currently cover GLP-1s for obesity, with policies evolving

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