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As detailed in AARPs coverage guide updated on November 21, 2025, the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 explicitly prohibits Medicare Part D plans from covering medications prescribed primarily for weight loss as part of the standard benefit

Investigators pointed out analyses stratified according to indication demonstrated a decreasing trend in portion of new use for type 2 diabetes, but a more than doubling in the proportion of users without type 2 diabetes but with a BMI of 30 kg/m2 or greater, or in those with a BMI of 27 to 30 kg/m2 and an obesity-related comorbid condition

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2020;16(Suppl 9):e042909