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An employer can select a custom benefit or exclusion, especially in a self-funded plan

GLP-1 drugs like Ozempic, Wegovy, Mounjaro and Zepbound transform care for obesity and diabetes

That act of removal eliminating the PBM exposed what the industry had obscured for decades: a system of opaque markups, hidden rebates, and contractual spread pricing that extracted billions from patients, employers, and government payers while routing the money upward through three vertically integrated conglomerates that now control roughly 80% of all U.S

People taking Victoza may lose about 2% of their body weight in a year, while those on Mounjaro lose 6% to 8% in a shorter time