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Health Canadas performance framework replaces older indicators tied to overall national drug spending with a new measure of pharmaceutical spending per capita, projected to fall between $1,212 and $1,340 by 202627

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If not, who decides our formulary?" Make the business case: Obesity treatment reduces long-term healthcare costs (diabetes, heart disease, joint problems) Gather support: If coworkers also want coverage, a group request carries more weight Time it right: Benefits are often reviewed in Q3-Q4 for the following year Be patient: Formulary changes typically take effect at the next plan year WHAT AETNA REQUIRES Prior Authorization Requirements Prior Authorization Requirements Wegovy Is Covered PA Is Required Since Wegovy is the preferred GLP-1 on most Aetna plans, the main hurdle is meeting the prior authorization requirements