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The five medicines accounted for nearly 20 percent of all the insurers drug spending in 2024 and about one third of its year-over-year increase in costs, whats known as medical trend. Massachusetts has more to lose than other states if major commercial insurance providers such as Blue Cross pull back from GLP-1 drug coverage

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Beyond availability, the brand-name medication carries high out-of-pocket costs even with insurance coverage, often requiring prior authorization and copayments exceeding $200 per month