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If you live in North Dakota (the only state with no coverage as of April 2026) or your state covers it only for diabetes and you need it for weight loss, your options are paying cash ($1,100+ per month), applying for Lilly Cares if you're uninsured, or switching to compounded tirzepatide ($179 to $299 per month)
The entire premise rested on pharmacological theory, not evidence
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