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Biologic medications can cost $20,000-60,000 annually as of 2026, while peptide therapy costs are generally lower

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State-Specific Laws on HRT and Medicaid Coverage for Menopause It’s crucial to understand that while a state’s Medicaid program may cover “medically necessary” services, the specifics of what that entails for menopause HRT can be complex, often depending on the formulary (list of covered drugs) and prior authorization rules of each state’s Medicaid program or managed care organizations