In June 2021, the insurance plan for North Carolina state employees was paying for 2,800 people to take weight-loss drugs.
Last year, it paid for nearly 25,000.
Medications like Wegovy cost the North Carolina State Health Plan $100 million last year, rising seemingly out of nowhere to represent 10 percent of its spending on prescription drugs.
“This is something we never anticipated,” said Dale Folwell, the state treasurer whose office runs the health plan.
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