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CVS Caremark (Aetna's PBM) removed Zepbound from standard formularies in July 2025including for OSA [9] Self-funded employers can override this decision and keep Zepbound covered Formulary exception requests are still possible with strong medical documentation To determine your exact coverage, check directly with Aetna
They also believe compounded GLP-1 medications are less regulated, less consistent, and less safe than branded medications
Inhibition of glucagon: GLP-1 inhibits the release of glucagon, another hormone produced by the pancreas
These are especially problematic when GLP-1 medications have already reduced your gut motility
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Sometimes they never pass that dose of 0.75 mg
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