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05 · Access & Industry

Your work health plan may stop paying for weight-loss drugs

Vox1 min read

Employers added GLP-1 coverage fast. Now some are dropping it because of the cost.

Vox coverage of employer health-plan decisions on GLP-1 weight-loss drugs, with a Getty Images photo.
Source: Vox

In 2026, about two in three employer health plans covered GLP-1 weight-loss drugs, up from about one in five the year before. Now some are pulling back. PepsiCo, Starbucks and Lowe's are among the big names reported to be cutting coverage.

The reason is cost. The drugs run $600 or more a month. And workers often change jobs before the long-term health savings arrive, so the employer paying today rarely gets the benefit. One insurer found that covering the drugs raised average health costs by $7,000 per employee in the first year.

For people losing coverage, the choice is hard: pay $300 or more a month themselves, or stop taking it. A cheaper generic is not expected in the US until at least 2031.

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