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Brown, E., Heerspink, H
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Express Scripts covers Wegovy on approximately 78% of commercial formularies as of April 2026, but coverage requires prior authorization
While the therapeutic benefits of GLP-1RAs in diabetes management are well-established, their emerging role in other diseases suggests novel treatment strategies
Clients can expect: Our formulary strategy in action We focus on: Enabling access to clinically appropriate medications while driving client savings Using independent clinical reviews to guide decisions and uphold integrity Securing best pricing by leveraging competition across generics, biosimilars and brands Supporting smooth member transitions to minimize disruption and keep care consistent We help clients stay ahead by: Tracking regulatory changes and anticipating their impact Combating hyperinflation by removing overpriced drugs Reviewing new-to-market drugs to evaluate clinical appropriateness and value to determine formulary eligibility [Instrumental background music plays
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