Wegovy, a new obesity drug, works wonders, but patients struggle for insurance coverage. Here's what to know:
on Wegovy including a double-blind, placebo-controlled study show an average 15% weight loss. This is quite an effect, considering that scientists have long known that weight loss of just 5% to 10% may stop or slow the onset of diabetes and help improve blood pressure, cholesterol, and blood sugar levels.But there was a problem. Many insurance companies were refusing to cover the drug.
“It seemed inconsistent. Some people were able to get it covered by their insurance, others weren’t. Or they got it covered and then their insurance later denied it,” he says. But Wegovy isn’t the first effective medication that insurance companies have refused to cover and it’s unlikely to be the last, says Geoffrey Joyce, PhD, director of health policy at the University of Southern California’s Schaeffer Center for Health Policy and Economics.,” says Joyce. “But who could afford the original price tag of $84,000 for the treatment?”
At first, insurers may restrict access only to patients who have a very high BMI or who have tried other medications unsuccessfully. And some restrictions will likely continue – as with Sovaldi – until competition drives down prices and generic drugs are allowed into the market, says Joyce. .
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