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Discussion of Table 1: Table 1 synthesizes available data on formulary access for Wegovy (a representative weight-loss GLP-1) under the top PBMs, plus a note on general employer plans

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Therefore, we included the 5-digit placeholder codes and the long descriptors for the new and revised CY 2026 CPT codes in Addendum O to the CY 2026 OPPS/ASC proposed rule (which is available via the internet on the CMS website) so that the public could adequately comment on the proposed APCs and SI assignments

However, no economic evaluation using these data has yet been conducted in the Japanese setting