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Ozempic (same active ingredient, different dosing) is the covered semaglutide product for diabetes Prior authorization required for all GLP-1 agonists Step therapy requirement: must document trial and failure of metformin for at least 90 days BMI requirement: must be 27 or higher with at least one weight-related comorbidity For obesity without diabetes: Wegovy is classified as a weight-loss medication and falls under MassHealth's excluded drug categories No coverage regardless of BMI No coverage even with documented obesity-related conditions like hypertension, sleep apnea, or osteoarthritis This exclusion applies to all MassHealth plans: Standard, CarePlus, CommonHealth, and Family Assistance The policy is codified in the MassHealth Drug List updated quarterly

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Here, we sought to test these hypotheses by recruiting a cohort with obesity 19 either taking GLP-1 RAs or not and test breath alcohol content (BrAc) and subjective feelings after an alcohol challenge dose