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Obesity rates have almost tripled since 1975, which researchers say is due to a combination of factors, including: Increased access to energy-dense food coupled with reduced physical activity Sleep deprivation Circadian desynchronization Chronic stress A rise in the use of certain medications known to result in weight gain, including some anti-epileptic and psychotropic drugs Other genetic and environmental factors As a result, prescription drug companies have sought their own way to target the treatment of obesity

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Below we review the public information on the three largest PBM entities (CVS Caremark, Cignas Express Scripts/Evernorth, and UnitedHealths OptumRx) as of 2026, along with illustrative plan examples

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Grenon SM, Vittinghoff E, Owens CD, Conte MS, Whooley M, Cohen BE

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