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The Three Tiers of Medicaid GLP-1 Coverage Understanding Medicaid GLP-1 coverage is easiest when you think of it in three tiers based on indication: Tier 1: Type 2 Diabetes Covered in All States (Required) Every state Medicaid program must cover GLP-1 medications when prescribed for Type 2 diabetes

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Combination pharmacotherapy, while sometimes used in clinical practice, is generally off-label with limited evidence in post-bariatric populations and requires careful monitoring

Both agents provided clinically meaningful reductions in HbA 1c (2.6 mmol/mol [0.2%] with SGLT2i and 5.4 mmol/mol [0.5%] with GLP-1 RA)

Injecting into this area can affect how well the medication is absorbed, which in turn impacts its effectiveness