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Their analysis follows a March 2024 report from the Congressional Budget Office (CBO) which found that at its current costranging from $1,000 to $1,300 for a four-week supplyMedicare will not be able to sustainably cover semaglutide
Fix: Always include the 11-digit NDC number, drug name, strength, dosage, and route on every J3490 claim
Lets break it down in a simple, easy-to-understand way so you can make an informed decision
For a patient with a $5,000 deductible, the first $5,000 of GLP-1 costs come out of pocket at the negotiated rate ($850 to $1,200 per month)
US$ 23.97
US$ 27.34
US$ 28.20
