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Starting in mid-2026, Medicare will begin covering these drugs for select patient groups and state Medicaid programs have the option to adopt similar coverage at these discounted rates

Pharmacological options (including semaglutide 2.4 mg when clinically indicated for those with BMI 30 kg/m or 27 kg/m with weight-related comorbidities) or bariatric surgery referral may be appropriate for those meeting specific criteria and managed through specialist weight management services

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Excludes : special items such as gas or liquid