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Clarifications for the definition of refundable single-dose container or single-use package drug (1) Exclusions for drugs for which payment has been made under Part B for fewer than 18 months Section 1847A(h)(8)(B)(iii) of the Act excludes from the definition of refundable drug a drug approved or licensed by FDA on or after November 15, 2021, and for which payment has been made under Part B for fewer than 18 months

Cost-sharing under Aetna varies: some plans place Zepbound on the highest formulary tier (specialty tier), resulting in copays of $50$250+ per month or coinsurance of 2030% of the actual drug price