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Government aid dollars flow directly to insurance companies, with the hope of cheaper premiums for eligible beneficiaries

That was the case for about three years until last spring as Lilly and Novo worked to increase their supply of weight-loss drugs when demand far outpaced supply

"They are a phenomenon," Eric Tichy, lead author of the ASHP report and chair of supply chain management at Mayo Clinic, said of the public's demand for GLP-1 drugs

She said several factors explain their rapid adoption: They significantly reduce appetite and help people eat less without constant hunger Some are FDA-approved for chronic weight management in people who meet eligibility criteria There is growing recognition in healthcare that obesity is a chronic disease, not simply a willpower issue, and may require long-term medical treatment Their popularity also reflects strong public awareness and patient demand, though cost, access, and insurance coverage remain major barriers for many people, Araghi said