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[19] What Could Change Coverage State-Level Changes to Watch California (CalPERS): Transitioned from OptumRx to CVS Caremark on January 1, 2026state employees should verify new formulary status [23] Indiana: State employee plans now exclude all GLP-1s for weight loss (not just Zepbound) effective January 1, 2026 [24] Wyoming: Launched new CVS Caremark weight management program with GLP-1 access via enrollment (January 2026) [25] For Medicare policy updates, see our Medicare guide

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