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[19] What Could Change Coverage State-Level Changes to Watch California (CalPERS): Transitioned from OptumRx to CVS Caremark on January 1, 2026state employees should verify new formulary status [23] Indiana: State employee plans now exclude all GLP-1s for weight loss (not just Zepbound) effective January 1, 2026 [24] Wyoming: Launched new CVS Caremark weight management program with GLP-1 access via enrollment (January 2026) [25] For Medicare policy updates, see our Medicare guide

Over time, this accumulated damage is what we see as aging, wrinkles, sagging, dark spots, and loss of radiance

Start your intake Common GLP-1 Gastrointestinal Side Effects Nausea remains the most frequently reported side effect when starting GLP-1 medications, particularly in the first two weeks of treatment

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