US employers hire virtual providers as weight-loss drug gatekeepers

Posted on:
Key Points

Wegovy and similar obesity drugs are hiring virtual healthcare providers like Teladoc (TDOC.N) to implement weight-loss management programs, a dozen consultants, pharmacy benefit managers, analysts, and providers told Reuters...

These programs may require diet and exercise before granting access to the medicines, and in some cases will become employees' sole covered option for medications like Wegovy and Eli Lillys (LLY.N) rival therapy Zepbound, which have list prices of more than $1,000 a month...

It suggested at least one to three months of lifestyle changes through programs from telehealth companies or pharmacy benefit managers (PBMs) before patients are prescribed the medicines, which would help them adopt long-term approaches to healthier nutrition and exercise and give them coaching and other support...

Step therapy, which first requires completion of a diet and exercise program and may limit the duration of the medicine's use, is the main service employers are seeking, according to three virtual healthcare providers...

Blue Cross Blue Shield of Michigan, a health insurer with more than 5 million members, said next year it will offer employer clients an option for patients to sign up for Teladocs weight management program that involves six months of diet and exercise before patients can get Wegovy or Zepbound...

You might be interested in

Obesity drug Wegovy's popularity has US employers rethinking insurance coverage

27, Jun, 23

Shawnte struggled with her weight for years before she was prescribed Novo Nordisk’s diabetes drug Ozempic for weight loss in 2020, helping the former music industry professional from New York lose more than 50 pounds over two years.

Weight loss drugs transforming healthcare, may help with addiction

09, Nov, 23

A new class of weight loss drugs is transforming the U.S. healthcare system in ways that could extend to equally hard-to-treat areas like substance abuse, according to speakers at the Reuters Events Total Health conference in Chicago this week.

Adherence to weight-loss drugs is far higher with Wegovy than older medicines

06, Dec, 23

Forty percent of patients who filled a prescription for Novo Nordisk's (NOVOb.CO) Wegovy to treat obesity in 2021 or 2022 were still taking it a year later, more than three times the rate of adherence with older medicines, according to an analysis of medical records and insurance claims data.

Weight loss without Wegovy’s side-effects on biotech firms' radar

07, Jul, 23

Weight-loss drug Wegovy helped Rebecca Vogt achieve a major goal - shedding the weight she had not managed to drop since giving birth. But, after a particularly brutal day in the bathroom suffering from vomiting and diarrhoea, she called it quits.

The Obesity Drug Revolution Just Got Real

08, Aug, 23

Wegovy reduces risk of heart attack, stroke in study, paving way for greater insurance coverage

Weight-loss drugs: What and for whom are they good for?

02, Jan, 24

Can weight-loss drugs treat heart and kidney diseases to conditions such as Parkinson's and alcohol addiction? What and for whom are these drugs good for? | Health

Analysis: Europe faces long wait for weight-loss drugs as governments eye costs

10, Jul, 23

Novo Nordisk (NOVOb.CO) will start selling its hugely popular obesity drug Wegovy in Germany this month, its third European market, but only people who pay from their own pocket or have certain private health insurance plans will be able to get it.

More evidence needed on Lilly's weight loss drug, UK watchdog says

27, Jun, 23

UK's drug cost-effectiveness watchdog on Tuesday did not recommend Eli Lilly's weight loss drug for adults with diabetes, saying more evidence was needed before it could be used by the National Health Service (NHS).

WHO to consider adding obesity drugs to 'essential' medicines list

29, Mar, 23

Drugs that combat obesity could for the first time be included on the World Health Organization’s (WHO) “essential medicines list,” used to guide government purchasing decisions in low- and middle-income countries, the U.N. agency told Reuters. A panel of advisers to the WHO will review new requests for drugs to be included next month, with an updated essential medicines list due in September.

Maker of Wegovy, Ozempic showers money on U.S. obesity doctors

05, Dec, 23

Drugmaker Novo Nordisk paid U.S. medical professionals at least $25.8 million over a decade in fees and expenses related to its weight-loss drugs, a Reuters analysis found. It concentrated that money on an elite group of obesity specialists who advocate giving its powerful and expensive drugs to tens of millions of Americans.