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Employers drop coverage for weight loss drugs as pharma’s direct-to-consumer programs grow

By STAT News  
   December 18, 2025

When HCA Healthcare, one of the largest hospital systems in the U.S., recently told employees it would stop covering blockbuster obesity drugs Zepbound and Wegovy next year, it pointed them to an alternative way to get the treatments: Buy them themselves. HCA said use of the GLP-1 weight loss drugs surged 90% this year, 'significantly' raising costs. It instead suggested employees enroll in discount programs introduced by the drugs' manufacturers, Eli Lilly and Novo Nordisk, which allow patients to buy the medicines without using insurance at cash prices that are lower than the list prices.

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