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Lower-cost medication alternatives: When Medicaid does not cover weight loss shots, providers can consider covered alternatives such as phentermine, orlistat, or naltrexone/bupropion, which may be on the state formulary even when GLP-1s are excluded

First-time GLP-1 patients sometimes prefer starting on oral before committing to injections

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Injections are also ideal for individuals with digestive issues that hinder nutrient absorption