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In fact, high-profile examples of payers pulling back on coverage are stacking up: North Carolinas state health plan dropped GLP-1s after spending $100 million, Ascension eliminated all weight-loss drug coverage, and Mayo Clinic capped lifetime GLP-1 benefits at $20,000

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This suggests a potential role for phentermine as a maintenance or bridge therapy after GLP-1 discontinuation, though the evidence remains preliminary