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Heres a quick comparison of the cost of the Wegovy pill to the costs of other GLP-1s without insurance: Currently, three injectable GLP-1s are approved for weight loss: Wegovy, Zepbound (tirzepatide), and Saxenda ( liraglutide )

To determine which combinations of primary service codes reported in conjunction with an add-on code may qualify for a complexity adjustment for CY 2026, we apply the frequency and cost criteria thresholds discussed above, testing claims reporting one unit of a single primary service assigned to status indicator J1 and any number of units of a single add-on code for the primary J1 service

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