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Obesity Drug Coverage In ACA Plans May Expand With Shift In Treatment Classification Standard

 
• By Cathy Kelly

Current drug classification standard was originally designed for the Medicare Part D program, which does not cover obesity drugs.

Change Could Accommodate New Generation Of Treatments • Source: Shutterstock

The Centers for Medicare and Medicaid Services is considering endorsing a different drug classification standard for private insurance plans serving the individual and small group markets that could encourage broader coverage of weight loss drugs.

The change could be timely for a new generation of obesity drugs currently fighting to overcome obstacles to coverage, including Novo Nordisk A/S’s recently launched Wegovy (semaglutide) and

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