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ForumsInsurance & Access2026 payer coverage update — GLP-1 formulary changes by insurer Page 3

2026 payer coverage update — GLP-1 formulary changes by insurer

InsuranceTom Mon, Feb 26, 2024 at 4:00 PM 481 replies 19,062 viewsPage 3 of 20
mike_mod
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Feb 26, 2024 at 8:15 PM#11

Moderator note: This thread has been getting great engagement. Please remember to cite sources when making clinical claims.

No issues to report — carry on. 👍

46 10PharmHunterJen, TomTeleRx, DoseLogDan and 43 others
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mike.trainer_LA
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Feb 26, 2024 at 8:32 PM#12

Slightly tangential to 2026 payer coverage but amsterdam_pete reminded me — what is the latest on the oral formulations?

I know it is not exactly on-topic but it seems related enough to ask here rather than starting a new thread. Apologies if this has been covered — I did search first.

Last edited: Feb 27, 2024 at 12:32 AM
37 22newstart_MO, mia_MS2, LeilaHI and 34 others
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paul_denver
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Feb 26, 2024 at 8:49 PM#13

+1 to maria_elpaso. Especially the point about "Follow-up question: did you change anyth..." — I have seen the same in my own experience with 2026 payer coverage.

30 11wendy_avl, jason_paloalto, Dr.LeslieOBGYN and 27 others
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Dr.LipidDallas
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Feb 26, 2024 at 9:06 PM#14

Bookmarked 📌 The 2026 payer coverage info in this thread is essential. Coming back to this for sure.

17 23lori_vegas, Dr.PulmRoch, maya_sedona and 14 others
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Dr.RaviCardio
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Feb 26, 2024 at 9:23 PM#15

Relevant to 2026 payer coverage update — here is my latest bloodwork comparison:

Key improvements: A1C 7.6% → 5.5%, triglycerides 241 → 111 mg/dL, hsCRP 8.0 → 1.1 mg/L. All on tirzepatide for 9 months.

The inflammatory marker drop is what impresses me most. Consistent with the SELECT trial's cardiovascular findings.

16 3jason_sac26, chris_chi24, tampaLisa73 and 13 others
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