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They simply offer a different access model

No reports or indications suggest that sitagliptin (Januvia) has been taken off the market

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Currently this means: Type 2 diabetes (Ozempic, Mounjaro, Trulicity, Victoza, Rybelsus) Cardiovascular risk reduction in patients with established cardiovascular disease (Ozempic, Victoza) Wegovy and Zepbound, which are FDA-approved only for weight management, are excluded on all Medicare plans