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Major problem for Zepbound.  Not covered on the largest employer in the nation-federal, and the largest PBM in the nation-cvs Caremark.  Top that off with can’t produce CV benefit and just a matter of time before ESI and Optum join in.  Just a recipe for disaster. Lilly is pigeon holed for cash only which Is the worst because no one can afford 400 a month.  I’d really be concerned of the future of Zepbound and also  Monjaro as the competition has cvd and ckd indication.  Why would a provider choose M over O. Stupid if they do.