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As a result, coverage of GLP-1 drugs for the treatment of obesity remains optional for states, while coverage is required for drugs approved for the treatment of diabetes and, since March 2024 and December 2024, for the treatment of cardiovascular disease (Wegovy) and moderate to severe obstructive sleep apnea in adults with obesity (Zepbound), respectively (Table 1)

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The risk of pancreatitis associated with GLP-1 receptor agonists warrants particular attention in patients with heavy alcohol consumption, as chronic alcohol use is itself a significant risk factor for both acute and chronic pancreatitis

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