{"id":8450,"date":"2024-06-25T14:04:29","date_gmt":"2024-06-25T14:04:29","guid":{"rendered":"http:\/\/medexperts.pro\/?p=8450"},"modified":"2024-06-25T15:25:14","modified_gmt":"2024-06-25T15:25:14","slug":"some-states-say-they-cant-afford-ozempic-and-other-weight-loss-drugs-2","status":"publish","type":"post","link":"http:\/\/medexperts.pro\/?p=8450","title":{"rendered":"Some States Say They Can\u2019t Afford Ozempic and Other Weight Loss Drugs"},"content":{"rendered":"<div><\/div>\n<p id=\"article-summary\" class=\"css-79rysd e1wiw3jv0\">Public employees in West Virginia who took the drugs lost weight and were healthier, and some are despondent that the state is canceling a program to help pay for them.<\/p>\n<section class=\"meteredContent css-1r7ky0e\">\n<div class=\"css-s99gbd StoryBodyCompanionColumn\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Joanna Bailey, a family physician and obesity specialist, doesn\u2019t want to tell her patients that they can\u2019t take Wegovy, but she has gotten used to it.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Around a quarter of the people she sees in her small clinic in Wyoming County would benefit from the weight-loss medications known as GLP-1s, which also include Ozempic, Zepbound and Mounjaro, she says. The drugs have helped some of them lose 15 to 20 percent of their weight. But most people in the area she serves don\u2019t have insurance that covers the cost, and virtually no one can afford sticker prices of $1,000 to $1,400 a month.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">\u201cEven my richest patients can\u2019t afford it,\u201d Dr. Bailey said. She then mentioned something that many doctors in West Virginia \u2014 among the poorest states in the country, with the highest prevalence of obesity, at 41 percent \u2014 say: \u201cWe\u2019ve separated between the haves and the have-nots.\u201d<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Such disparities sharpened in March when West Virginia\u2019s Public Employees Insurance Agency, which pays most of the cost of prescription drugs for more than 75,000 teachers, municipal workers and other public employees and their families, canceled a pilot program to cover weight-loss drugs.<\/p>\n<\/div>\n<\/div>\n<div><\/div>\n<div class=\"css-s99gbd StoryBodyCompanionColumn\">\n<div class=\"css-53u6y8\">\n<p class=\"css-at9mc1 evys1bk0\">Some private insurers help pay for medications to treat obesity, but most Medicaid programs do so only to manage diabetes, and <a class=\"css-yywogo\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2024\/03\/22\/1240170094\/wegovy-medicare-part-d-weight-loss-drugs\" title rel=\"noopener noreferrer\" target=\"_blank\">Medicare covers Wegovy and Zepbound<\/a> only when they are prescribed for heart problems.<\/p>\n<p class=\"css-at9mc1 evys1bk0\">Over the past year, states have been trying, amid rising demand, to determine how far to extend coverage for public employees. Connecticut is <a class=\"css-yywogo\" href=\"https:\/\/insideinvestigator.org\/ct-state-employees-losing-weight-on-medication-but-costs-top-35-million\/#_blank\" title rel=\"noopener noreferrer\" target=\"_blank\">on track<\/a> to spend more than $35 million this year through a limited weight-loss coverage initiative. In January, North Carolina <a class=\"css-yywogo\" href=\"https:\/\/www.nytimes.com\/2024\/01\/26\/business\/obesity-drugs-insurance-north-carolina.html\" title>announced<\/a> that it would stop paying for weight-loss medications after forking out $100 million for them in 2023 \u2014 10 percent of its spending on prescription drugs.<\/p>\n<div class=\"css-1336jj\">\n<div class=\"css-121kum4\">\n<div class=\"css-171d1bw\"><\/div>\n<div class=\"css-asuuk5\">\n<div class=\"css-7axq9l\" data-testid=\"optimistic-truncator-noscript\">\n<div data-testid=\"optimistic-truncator-noscript-message\" class=\"css-6yo1no\">\n<p class=\"css-3kpklk\">We are having trouble retrieving the article content.<\/p>\n<p class=\"css-3kpklk\">Please enable JavaScript in your browser settings.<\/p>\n<\/div>\n<\/div>\n<div class=\"css-1dv1kvn\" id=\"optimistic-truncator-a11y\">\n<hr \/>\n<p>Thank you for your patience while we verify access. If you are in Reader mode please exit and\u00a0<a href=\"https:\/\/myaccount.nytimes.com\/auth\/login?response_type=cookie&amp;client_id=vi&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2024%2F06%2F25%2Fhealth%2Fobesity-ozempic-wegovy-west-virginia.html&amp;asset=opttrunc\">log into<\/a>\u00a0your Times account, or\u00a0<a href=\"https:\/\/www.nytimes.com\/subscription?campaignId=89WYR&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2024%2F06%2F25%2Fhealth%2Fobesity-ozempic-wegovy-west-virginia.html\">subscribe<\/a>\u00a0for all of The Times.<\/p>\n<hr \/>\n<\/div>\n<div class=\"css-1g71tqy\">\n<div data-testid=\"optimistic-truncator-message\" class=\"css-6yo1no\">\n<p class=\"css-3kpklk\">Thank you for your patience while we verify access.<\/p>\n<p class=\"css-3kpklk\">Already a subscriber?\u00a0<a data-testid=\"log-in-link\" class=\"css-z5ryv4\" href=\"https:\/\/myaccount.nytimes.com\/auth\/login?response_type=cookie&amp;client_id=vi&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2024%2F06%2F25%2Fhealth%2Fobesity-ozempic-wegovy-west-virginia.html&amp;asset=opttrunc\">Log in<\/a>.<\/p>\n<p class=\"css-3kpklk\">Want all of The Times?\u00a0<a data-testid=\"subscribe-link\" class=\"css-z5ryv4\" href=\"https:\/\/www.nytimes.com\/subscription?campaignId=89WYR&amp;redirect_uri=https%3A%2F%2Fwww.nytimes.com%2F2024%2F06%2F25%2Fhealth%2Fobesity-ozempic-wegovy-west-virginia.html\">Subscribe<\/a>.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Public employees in West Virginia who took the drugs lost weight and were healthier, and some are despondent that the state is canceling a program to help pay for them.Joanna Bailey, a family physician and obesity specialist, doesn\u2019t want to tell her patients that they can\u2019t take Wegovy, but she has gotten used to it.Around a quarter of the people she sees in her small clinic in Wyoming County would benefit from the weight-loss medications known as GLP-1s, which also include Ozempic, Zepbound and Mounjaro, she says. The drugs have helped some of them lose 15 to 20 percent of their weight. But most people in the area she serves don\u2019t have insurance that covers the cost, and virtually no one can afford sticker prices of $1,000 to $1,400 a month.\u201cEven my richest patients can\u2019t afford it,\u201d Dr. Bailey said. She then mentioned something that many doctors in West Virginia \u2014 among the poorest states in the country, with the highest prevalence of obesity, at 41 percent \u2014 say: \u201cWe\u2019ve separated between the haves and the have-nots.\u201dSuch disparities sharpened in March when West Virginia\u2019s Public Employees Insurance Agency, which pays most of the cost of prescription drugs for more than 75,000 teachers, municipal workers and other public employees and their families, canceled a pilot program to cover weight-loss drugs.Some private insurers help pay for medications to treat obesity, but most Medicaid programs do so only to manage diabetes, and Medicare covers Wegovy and Zepbound only when they are prescribed for heart problems.Over the past year, states have been trying, amid rising demand, to determine how far to extend coverage for public employees. Connecticut is on track to spend more than $35 million this year through a limited weight-loss coverage initiative. In January, North Carolina announced that it would stop paying for weight-loss medications after forking out $100 million for them in 2023 \u2014 10 percent of its spending on prescription drugs.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and\u00a0log into\u00a0your Times account, or\u00a0subscribe\u00a0for all of The Times.Thank you for your patience while we verify access.Already a subscriber?\u00a0Log in.Want all of The Times?\u00a0Subscribe.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"close","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-8450","post","type-post","status-publish","format-standard","hentry","category-lifestyle"],"_links":{"self":[{"href":"http:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/8450","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8450"}],"version-history":[{"count":2,"href":"http:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/8450\/revisions"}],"predecessor-version":[{"id":8452,"href":"http:\/\/medexperts.pro\/index.php?rest_route=\/wp\/v2\/posts\/8450\/revisions\/8452"}],"wp:attachment":[{"href":"http:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8450"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8450"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/medexperts.pro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8450"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}