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On the pharmacy side, GLP-1s are placed in specialty tiers requiring high co-insurance or coinsurance

For example, some symptoms include extreme thirst, low blood pressure, inability to regulate body temperature, and mental confusion

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Highmark Client Tip Sheet CAA Section 204 Reporting 2026 December 2025 Updates: Highmark Pharmacy Blast: Pharmacy Program Updates and Reminders GLP-1 Coverage Update: Enhanced anti-obesity policy now includes coverage for members with BMI 40 and high-risk conditions (sleep apnea, cardiovascular disease, or advanced MASH), reflecting expanded clinical evidence

We do not provide usage or dosing instructions