Here's what plan sponsors need to know: 1 Cost curves are bending: patients on GLP-1 therapy show meaningfully slower total cost-of-care growth in 18-30 months
Less common, more critical The serious side effects listed in the safety warnings for semaglutide and tirzapetide include changes in vision, while tirzapetide lists the possibility of diabetic retinopathy complications
The cost of Mounjaro with Blue Cross Blue Shield health insurance varies by plan
Key Coding Tip Always verify whether the drug is billed under: Medical benefit (buy-and-bill model) Pharmacy benefit (retail or specialty pharmacy) CPT Coding for GLP-1 Related Visits GLP-1 prescriptions are commonly tied to E/M visits, obesity counseling, or diabetes management
Unless you add VIP coaching, the approach is fairly independent, making it a better fit for self-directed patients than for those who prefer regular, built-in lifestyle support
Nearly half (48.3%) of the cohort had obesity and 50.7% had type 2 diabetes