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Prefer Different Administration Format The Problem: Mounjaro comes in pre-filled pen only Prefer vial and syringe (more control, less waste) Pen design difficult for some to use Environmental concerns about pen disposal The Solution: Some alternatives offer vials instead of pens, providing more flexibility

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Formulary approaches may drive utilization of one or the other drug, both of which offer strong weight loss potential Employees should continue to monitor this class of medications as there are additional products in the pipeline, including oral semaglutide for obesity, expected to be FDA approved by the end of 2025

This confirms that when dry mouth does occur, it is mild and goes away