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FIGURE 4 4 Comparative overview of mainstream GLP-1RAs Over the past 2 decades, several GLP-1RAs have entered clinical practice, including short-acting exenatide, intermediate-acting liraglutide, and long-acting formulations such as dulaglutide and semaglutide, as well as the newer dual agonist tirzepatide

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Medicaid members in these groups do not have a copay: Members under age 21 People who are pregnant Members in hospice care Federally recognized American Indians or Alaska Natives North Carolina Breast and Cervical Cancer Control Program (NC BCCCP) beneficiaries Children in foster care Children with disabilities under the Family Opportunity Act Innovations and Traumatic Brain Injury (TBI) waiver program members People living in an institution who have coverage for cost of care There is also no copay for birth control and some medical equipment such as blood sugar testing supplies, vaccines, and COVID treatments and tests