Vitamin B12 (cobalamin) is essential for red blood cell formation, DNA synthesis, and nervous system maintenance, obtained exclusively through diet or supplementation
Specialty drugs biologics, cell and gene therapies, high-cost small molecules for rare diseases represent roughly 50% of total drug spend despite accounting for fewer than 5% of prescriptions
And so its not going anywhere. HR Director, Large manufacturer While there was a great deal of concern expressed about the ability of employers to afford the potential costs for covering these drugs more broadly, many also acknowledged that the pressure to cover them was likely to continue

Underwriters are also getting better at detecting GLP-1 use through: Prescription databases Medical records requests Follow-up health questionnaires What This Means for Your Clients If currently on GLP-1 medications: Expect questions about medication use and duration Be prepared for potentially higher rates despite current health improvements Consider timing of application if they've been stable on medication for an extended period If recently stopped GLP-1 medications: Underwriters may view recent discontinuation as a risk factor Weight regain could further complicate the application process Medical follow-up showing sustained health improvements may help If planning to start GLP-1 medications: Understand that future applications may be affected by medication use Industry Trends to Watch Some forward-thinking insurance companies are exploring partnerships with GLP-1 providers to improve medication adherence

Although the changes were not significant, most of the fatty acids measured generally decreased in the L-carnitine group