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CMS BALANCE model pricing for semaglutide at 245 dollars per month

April 5, 2026JAMA, JAMA Internal Medicine

JAMA and JAMA Internal Medicine report that at 245 dollars per month, the CMS BALANCE model could save Medicare about 933 million dollars on semaglutide in 2027 and expand obesity coverage to more beneficiaries.

At a $245/month price, the CMS BALANCE model could save Medicare nearly $933 million on #semaglutide in 2027, offsetting costs for up to 550 000 additional beneficiaries eligible for #obesity coverage.
At a $245/month price, the CMS BALANCE model could save Medicare nearly $933 million on #semaglutide in 2027, offsetting costs for up to 550 000 additional beneficiaries eligible for #obesity coverage.
From @JAMA_current: At a $245/month price, the CMS BALANCE model could save Medicare nearly $933 million on #semaglutide in 2027, offsetting costs for up to 550 000 additional beneficiaries eligible for #obesity coverage.
JAMA
JAMA Internal Medicine
Medicaredrug pricingGLP-1

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