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To lower costs, some patients turn to compounded GLP-1 drugs custom-made versions prepared by certain pharmacies

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Although a PBM may list the drug on their formulary, the decision to provide coverage for the medication still falls upon the plan sponsor. In addition, payers should: Review PBM formulary and utilization management systems to ensure that only clinically eligible patients get the drugs Negotiate lowest-net-cost PBM formulary changes to obtain the medications at the lowest prices Contract with a PBM that approves of manufacturer copay cards for non-specialty drugs, which can lower the cost burden on the payer The weight loss potential cannot be easily dismissed on either a clinical or financial basis, according to the guide