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Limited coverage exists under specific employer-, plan-, and diagnosis-based conditions: Some employer and government plans offer coverage with prior authorization Coverage varies by employer, plan type, and diagnosis BCBS operates through independent state affiliates, so rules differ by state Who this guide is for BCBS members exploring Zepbound coverage through employer-sponsored plans, ACA marketplace plans, Medicare Advantage, or the Federal Employee Program (FEP)

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CMS has already announced negotiated prices under the Medicare Drug Price Negotiation Program that take effect in 2027