Medicare can pay for obesity drugs like Wegovy in certain heart patients

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Medicare can pay for obesity drugs like Wegovy in certain heart patients
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Certain Medicare patients may get help paying for the popular weight-loss drug Wegovy, as long as they also have heart disease. The Centers for Medicare & Medicaid Services issued new gudiance that says Medicare Part D drug benefit plans can cover anti-obesity drugs as long as they're approved for an additional use.

FILE - Donna Cooper holds up a dosage of Wegovy, a drug used for weight loss, at her home, March 1, 2024, in Front Royal, Va. The popular weight-loss drug Wegovy may be paid for by Medicare — as long as patients using it also have heart disease and need to reduce the risk of future heart attacks, strokes and other serious problems, federal officials said Thursday, March 21.

The move could pave the way for thousands of new prescriptions, resulting in billions of dollars in increased spending, analysts have said. “Medicare plans may be reluctant to move quickly to cover Wegovy given its relatively high price, particularly because they won’t be able to adjust premiums before next year,” she said.

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