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This is a federal requirement under the Medicaid Drug Rebate Program states cannot exclude FDA-approved diabetes drugs from their formularies

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In June 2025, the TGA issued a medicines safety update requiring consideration be given to the risk of delayed gastric emptying and aspiration when providing anaesthesia or deep sedation for patients using these drugs

More recently, it has received approval for use as an anti-obesity medication, marketed under the brand name Wegovy