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In general, pharmacy benefits cover prescription medications obtained at a pharmacy (retail or mail-order) and taken by the patient at home, while medical benefits cover healthcare services (such as office visits, hospital stays, procedures) and drugs administered in a clinical setting ( [1] ) ( [9] )

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It reflects a systemic gap between the clinical evidence supporting GLP-1 use for chronic weight management, the regulatory framework governing prescriptions, and the infrastructure for manufacturing at scale