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The pilot program is not for beneficiaries with type 2 diabetes, obstructive sleep apnea or MASH. Those enrollees and those prescribed GLP-1s to reduce the risk of heart attack, stroke or coronary bypass surgery are ineligible for the program and can get Medicare coverage of the drugs only through their Part D plan, CMS says

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Heather Ferris, a clinical endocrinologist and scientist at the University of Virginia told Being Patient

Many plans do cover it, but almost all will require a strict prior authorization process, proving medical necessity with a high BMI and documented failure of other weight loss methods