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Beginning July 1, Medicare will roll out an 18-month pilot called the “GLP-1 Bridge” that offers eligible beneficiaries popular GLP-1 weight-loss medications for a $50 monthly copay.
The program, running through Dec. 31, 2027, could cover more than 14 million people enrolled in Medicare Part D who are diagnosed as obese (BMI≥35) or overweight (BMI≥27) with a qualifying secondary condition.
Covered medicines include injectable and oral formulations such as Wegovy, Zepbound and Foundayo; physicians must submit prior authorization to enroll patients.
The move follows patient stories of dramatic weight loss and high out-of-pocket costs — some currently paying several hundred dollars a month — and comes amid concerns about side effects and the risk of weight regain if access ends.
Medicare has not disclosed how much the pilot will cost taxpayers; insurers reportedly declined to participate because of high projected expenses, leaving most of the bill to federal funding and beneficiaries.
The program is positioned as a temporary bridge ahead of a potential broader coverage decision in 2027.

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