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Annual Cost (First year): $7,673 Average Monthly (First year): $639 Scenario 2: Wegovy Pens (Cash-Pay) - FDA-Approved Semaglutide Annual Cost (First year): $7,628 Average Monthly (First year): $636 Scenario 3: Insurance-Covered Medication - Most Variable Insurance copays vary dramatically by plan, ranging from $25 (excellent coverage) to $300+ (high deductible)

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