07/09/2026
š Medicare GLP-1 Bridge Program š
We are getting a lot of questions about the temporary Medicare GLP-1 Bridge Program that started July 1st. Here is a quick rundown of who qualifies and how it works!
Eligibility:
ā¢ Enrolled in a Medicare drug plan (Part D or Medicare Advantage)
ā¢ NO diagnosis of type 2 diabetes, sleep apnea, or fatty liver disease (if you have one of these diagnoses, we must use your standard drug plan)
ā¢ NO history of already getting a GLP-1 through your standard Medicare drug plan (if so, we must continue using your standard drug plan)
ā¢ Age 18+ and meeting one of these weight/health thresholds:
~BMI of 35+
~BMI of 30+ WITH hard-to-control high blood pressure, certain heart failure, or kidney disease (stage 3a+)
~BMI of 27+ WITH prediabetes, or a history of heart attack, stroke, or blocked leg/arm arteries
Covered Medications:
ā¢ WegovyĀ® (injection or tablet)
ā¢ ZepboundĀ® (KwikPenĀ® formulation only)
ā¢ FoundayoĀ® (tablet)
How it works:
This program requires a Prior Authorization from your doctor for the first fill. Once approved, your medication is a flat $50 per month through December 2027! *This $50 copay does not count toward your normal insurance deductible or out-of-pocket maximum. We will need your Medicare Beneficiary ID (from your red, white, and blue Medicare Card) if not already on file.
As always, we are here to help! Feel free to call us or drop a comment below if you have any questions!
