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Does Medicare Cover Ozempic?
The GLP-1 Bridge program covers weight loss drugs, and Medicare plans can cover treatment for diabetes or other conditions.
Alex Rosenberg is a NerdWallet writer specializing in Medicare and a range of other insurance topics including health, life, auto and homeowners insurance. He has more than 10 years of experience researching and writing about health care, insurance, public policy, technology and data privacy. His research has supported lawmakers in the Wisconsin State Legislature as well as health systems and national health authorities in the United States and more than 10 other countries.
Elizabeth Aldrich is a writer at NerdWallet specializing in Medicare and other insurance topics including health, life, auto and homeowners insurance. She has been a financial journalist for 10 years, and her work has appeared in Forbes, Business Insider, CBS News, Bankrate, USA Today, CFP Board and Yahoo Finance. Prior to NerdWallet, she was a banking editor with expertise in Federal Reserve policy and produced studies that were cited by First Financial Bank and researchers at University of Chicago Law School and USC Gould School of Law. Elizabeth holds degrees in economics and philosophy from the University of Oregon. She is based in Portland, Oregon.
Holly Carey is a managing editor at NerdWallet. She leads the Health Insurance team and supports other insurance topics including life, auto and homeowners. She joined NerdWallet in 2021 as an editor focused on expanding content to additional topics within personal finance. Previously, Holly wrote and edited content and developed digital media strategies as a public affairs officer for the U.S. Navy. She is based in Virginia Beach, Virginia.
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Medicare covers Ozempic and other GLP-1 drugs for diabetes and certain other medical conditions. Historically, Medicare hasn’t covered Ozempic — or any other prescription drugs — specifically for weight loss. However, a new program gives Medicare beneficiaries access to certain GLP-1 drugs for weight loss.
As of July 1, some forms of Wegovy, Zepbound and Foundayo will be available for $50 per month under the Medicare GLP-1 Bridge program. You need a Medicare Part D plan or a Medicare Advantage plan with prescription drug coverage to qualify.
The Bridge program ends Dec. 31, 2027. The potential for future Medicare coverage of GLP-1 weight loss drugs is murky.
Ozempic is a brand name for semaglutide, a prescription medication manufactured and sold by Novo Nordisk. As an injection, it can help control blood sugar in people with Type 2 diabetes.
The Food and Drug Administration approved Ozempic to treat Type 2 diabetes in December 2017. Currently, there isn't a generic version of the drug, and there might not be for some time. Novo Nordisk’s Ozempic patents expire as late as June 2033, according to data from the FDA
Ozempic is probably the most recognized example of a GLP-1 drug. GLP-1s can treat diabetes and other conditions such as obesity and cardiovascular disease. There are a variety of other GLP-1 drugs and brand names from different manufacturers and/or for different conditions.
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We will connect you with Medicare companies based on the information you provide. They will help you find a plan that suits your needs. If you prefer to speak to a licensed insurance agent right away, please call the number listed above.
We will connect you with Medicare companies based on the information you provide. They will help you find a plan that suits your needs. If you prefer to speak to a licensed insurance agent right away, please call the number listed above.
We will connect you with Medicare companies based on the information you provide. They will help you find a plan that suits your needs. If you prefer to speak to a licensed insurance agent right away, please call the number listed above.
We will connect you with Medicare companies based on the information you provide. They will help you find a plan that suits your needs. If you prefer to speak to a licensed insurance agent right away, please call the number listed above.
We will connect you with Medicare companies based on the information you provide. They will help you find a plan that suits your needs. If you prefer to speak to a licensed insurance agent right away, please call the number listed above.
We will connect you with Medicare companies based on the information you provide. They will help you find a plan that suits your needs. If you prefer to speak to a licensed insurance agent right away, please call the number listed above.
We will connect you with Medicare companies based on the information you provide. They will help you find a plan that suits your needs. If you prefer to speak to a licensed insurance agent right away, please call the number listed above.
Does Medicare cover Ozempic for diabetes?
Yes. Medicare prescription drug plans can cover Ozempic for diabetes. In 2024, Medicare covered Ozempic for nearly 2 million people, according to data from the Centers for Medicare & Medicaid Services (CMS)
Ozempic falls under Medicare Part D because it’s an outpatient prescription drug. Coverage for Ozempic differs between plans.
If you have Original Medicare, you can buy a stand-alone Medicare Part D plan to get prescription drug coverage. If you have Medicare Advantage, most plans include prescription drug coverage. With Medicare Advantage, you cannot buy a separate Part D plan.
You’ll need to check your plan’s formulary to confirm if and how the plan covers Ozempic.
Medicare doesn’t cover Ozempic for weight loss. However, Medicare beneficiaries can access certain GLP-1 drugs for weight loss for $50 per month temporarily under the GLP-1 Bridge program.
GLP-1 weight loss drugs available under the Bridge program include certain forms of Wegovy, Zepbound and Foundayo. Wegovy has the same active ingredient as Ozempic and is FDA-approved for weight loss.
You must have a Medicare Part D plan or a Medicare Advantage plan with prescription drug coverage to be eligible for the Bridge program. But technically, the GLP-1 weight loss drugs aren’t covered by your Medicare plan.
Because GLP-1 weight loss drugs come from a separate program, your $50 copay won’t count toward your Medicare Part D deductible or out-of-pocket spending cap
Ozempic isn’t available for $50 per month through the Bridge program. But the program does include Wegovy, Ozempic’s weight-loss counterpart.
The cost of Ozempic could be considerably lower on Medicare if it’s prescribed to treat diabetes — as long as you have a Medicare Part D prescription drug plan that covers Ozempic. You would just need to pay a copay or coinsurance and possibly a deductible. Exact costs vary by plan.
Does Medicare cover Wegovy?
Wegovy is available to eligible Medicare beneficiaries for $50 per month through the Bridge program from July 1, 2026 to Dec. 31, 2027.
Wegovy isn’t covered for weight loss as part of Medicare plans’ regular coverage (outside of the Bridge program). However, CMS indicated that Medicare Part D can cover anti-obesity medications like Wegovy to “reduce the risk of major adverse cardiovascular events (cardiovascular death, non-fatal myocardial infarction or non-fatal stroke) in adults with established cardiovascular disease and either obesity or overweight” in guidance issued in March 2024
. For a full year, that would be slightly more than $17,500 without coverage.
Does Medicare cover Zepbound?
Zepbound is available to Medicare beneficiaries through the Bridge program from July 1, 2026 to Dec. 31, 2027. Under the Bridge program, it costs $50 per month.
Outside of the Bridge program, Medicare plans don’t cover Zepbound for weight loss. However, as with other GLP-1 drugs, Medicare plans can cover it for other purposes. For example, Mounjaro has the same active ingredient as Zepbound, and is approved to treat diabetes, certain cardiovascular diseases and sleep apnea.
If covered by your Medicare plan, out-of-pocket costs will vary by plan.
The list price for Mounjaro is $1,112.16 per four weekly doses
What’s next for Medicare’s coverage of weight loss drugs?
Medicare plans don’t cover drugs used for weight loss alone. But because the Bridge program isn’t technically “coverage,” it can help Medicare beneficiaries access certain weight loss drugs until Dec. 31, 2027. At that point, Medicare beneficiaries lose their access to $50 GLP-1 weight loss drugs.
CMS and Medicare insurance companies haven’t commented on the details of future GLP-1 coverage possibilities. CMS says it will gather data and share information with insurance companies about the Bridge program to help determine what comes next.
Help paying for Ozempic and other weight loss drugs on Medicare
Because Ozempic, Wegovy, Mounjaro and Zepbound are still under patent protection, there’s no option to buy a cheaper generic version. That doesn’t leave you without options though, even if Medicare doesn’t cover your prescription.
If you’re prescribed one of these drugs for diabetes or cardiovascular disease, consider looking for a plan with good coverage for the drug during Medicare open enrollment. Medicare.gov and shopping tools from many insurance companies and brokers can show how plans would cover specific drugs.
If you’re looking to take Ozempic or other weight loss drugs for weight loss alone, you can always talk to your doctor about more affordable treatment options.
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