Weight Loss Drugs Listed By Health Insurers Aren’t Necessarily Covered
Despite Eli Lilly's announcement that its obesity medications will be listed on the formularies of major pharmacy benefit managers, actual coverage remains uncertain. Many health insurers and plan sponsors are reluctant to cover these weight-loss drugs, with some even reducing existing coverage. A Centers for Medicare and Medicaid Services initiative to expand access for seniors and disabled individuals has stalled due to low participation, indicating a general lack of appetite for increased coverage. AI