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Zepbound still covered for OSA, Wegovy for cardiovascular disease [14] Blue Cross Blue Shield of Michigan: Ended all GLP-1 weight loss coverage for fully-insured large groups on 1/1/2025 [2] Blue Shield of California: Limited coverage to Class III (morbid) obesity only as of 1/1/2025 [3] BCBS of Massachusetts: Ended coverage for Wegovy, Zepbound, Saxenda starting 1/1/2026 [4] California Medi-Cal projects saving $85M in 2025-26, rising to $790M by 2028-29