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Keep vials sealed tightly between uses to reduce contamination

Avoid greasy, fried, very rich, or very spicy meals, especially around injection day or dose increases

However, this landscape shifted dramatically in late 2025: the Trump administration negotiated deals with Novo Nordisk and Eli Lilly to offer Wegovy and Zepbound at $245/month for Medicare and Medicaid, and CMS launched the BALANCE Model to begin Medicare Part D coverage of GLP-1s for obesity starting in 2027 (with a bridge demonstration in mid-2026) ( [5] )