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Medicare Update: Millions Will See GLP-1 Costs Plummet to $50 Per Month

Medicare Update: Millions Will See GLP-1 Costs Plummet to $50 Per Month

Summary

Starting July 1, Medicare will launch the GLP-1 Bridge program to help millions of seniors afford weight-loss drugs at a reduced cost of about $50 per month. This program runs until the end of 2027 and aims to make important medications more accessible by lowering their high prices for eligible Medicare recipients.

Key Facts

  • The Medicare GLP-1 Bridge program begins July 1 and lasts until December 31, 2027.
  • It caps out-of-pocket costs for certain weight-loss drugs at about $50 per month.
  • These medications include Wegovy, Foundayo, and Zepbound, originally for diabetes but used for weight loss.
  • Medicare did not previously cover weight-loss drugs, partly due to federal rules.
  • The program is for Medicare Part D or Medicare Advantage members with a doctor’s prescription and prior approval.
  • Payments under this program do not count toward Medicare deductibles or out-of-pocket limits.
  • Access after 2027 depends on future changes to Medicare policies.
  • Patients enroll through their healthcare providers who submit medical information to Medicare.
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