How to get Medicare to cover $50 a month for health needs

• Medicare launches a new program called “Medicare GLP-1 Bridge” to cover GLP-1 drugs starting with the Medicare program
• Patients with Part D will pay $50 per month for Wegovy and Zepbound, according to Foundayo
• Right now, coverage for patients with Medicare depends on the specific medicines; coverage may start by 31, 2027

Getting Medicare coverage, for people who have the Medicare program, may be possible to cover for health needs, including Wegovy and Zepbound, for $50 per month. Coverage will be provided through a program called “Medicare GLP-1 Bridge”, which is designed to bridge the gap between the current and future coverage.

There are programs available to help cover the costs of prescription drugs. For example, the dose of Zepbound and Wegovy (manufactured by Eli Lilly and Novo Nordisk, respectively), as well as Foundayo—a prescription tablet form of Wegovy.

Coverage for people depends on the Medicare Part D plan. The cost depends on the specific plan, which determines what it covers, and also on the patient’s situation. If a person is approved for coverage under Part D, they may be able to access GLP-1 drugs. However, coverage may be limited for people with type 2 diabetes, who are overweight or obese, or who have heart disease.

To obtain coverage, patients must first get prior authorization, which is required. After approval, the patient may receive GLP-1 coverage under the program for as long as needed, which is determined by the plan.

Coverage is expected to last until 31, 2027, after which GLP-1 coverage will be changed. It is expected that the federal government will cover the costs of Medicare drugs, while the private sector will continue to provide coverage.

As a reminder, the program may be extended if necessary, and it may allow patients to access GLP-1 drugs at a lower cost.

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