While the majority of states that contract with MCOs report that the outpatient prescription drug benefit is carved into managed care (31 of 42 states that contract with MCOs), eight states ( California, Missouri, New York, North Dakota, Ohio, Tennessee, Wisconsin, and West Virginia ) report that pharmacy benefits are carved out of MCO contracts as of July 1, 2025 (Figure 12)
That gap is large
While the estimates included possible savings from improved health, these were not nearly sufficient to offset the costs of the medications
van Baar, M
Your healthcare teampotentially including your primary care physician, endocrinologist, registered dietitian, and mental health professionalcan provide the comprehensive support needed for long-term success, whether you continue medication indefinitely or attempt maintenance without pharmacotherapy
Notably, higher levels of infiltration of fat into muscles are associated with decreased muscle strength and deficits in function
