Prescription costs
Medicare GLP-1 Bridge
The Medicare GLP-1 Bridge is a temporary Medicare program that covers certain GLP-1 weight-loss drugs for $50 a month. It runs from July 1, 2026, through December 31, 2027, separately from your regular drug plan. It's for adults with Medicare drug coverage who meet body-weight and health rules.
How to apply
- By phone
- 1-800-633-4227
- In person
- Through your doctor. They send a prescription for a covered drug to your pharmacy and complete Medicare's prior authorization when asked.
Who may qualify
| Coverage you need | Medicare drug coverage (Part D): a drug plan, a Medicare Advantage plan with drug coverage, a Special Needs Plan, an employer or union plan, or the LI NET program Source: Medicare.gov (source 1) |
|---|---|
| With a body mass index (BMI) of 35 or higher | No other condition needed Source: Medicare.gov (source 1) |
| With a BMI of 30 or higher | Plus diastolic heart failure, uncontrolled high blood pressure, or chronic kidney disease at stage 3a or higher Source: Medicare.gov (source 1) |
| With a BMI of 27 or higher | Plus prediabetes, a past heart attack or stroke, or blocked arteries in the legs or arms (peripheral artery disease) with symptoms Source: Medicare.gov (source 1) |
| Age | 18 or older Source: Medicare.gov (source 1) |
| Not eligible if you | Already get a GLP-1 drug through your Part D plan, or have type 2 diabetes, moderate-to-severe sleep apnea or fatty liver disease (your plan may cover a GLP-1 for these) Source: Medicare.gov (source 1) |
| Plans that don't qualify | Certain special plan types, like private fee-for-service plans, cost plans or PACE, if that's your only Medicare coverage |
What you may get
| Your cost for a one-month supply | $50 a month Source: Medicare.gov (source 1) |
|---|---|
| Drugs covered | Foundayo (tablet), Wegovy (injection or tablet) and Zepbound KwikPen. Single-dose Zepbound pens and vials aren't covered Source: Medicare.gov (source 1) |
| Income test | None. The cost is $50 at any income |
Dates, renewals and waiting lists
| Program start | July 1, 2026 Source: Medicare.gov (source 1) |
|---|---|
| Program end | December 31, 2027 |
| How long an approval lasts | Through December 31, 2027, including refills and dose changes, unless you switch GLP-1 drugs Source: Medicare.gov (source 1) |
Good to know
- Your doctor must certify that you're using the drug as part of a lifestyle program focused on diet and exercise.
- If you're approved, Medicare sends you a letter saying your drug is covered. Refills don't need a new approval as long as you stay on the same drug, even if the dose changes.
- Your pharmacy may ask for your Medicare Number, or the last 4 digits of your Social Security Number, to process the prescription.
- The $50 copay can't be spread out with the Medicare Prescription Payment Plan.
Sources: Medicare.gov (source 1), Centers for Medicare & Medicaid Services (source 2)
What people get wrong
MythThe $50 copay counts toward my Part D yearly limit.
Not true. It doesn't count toward your plan's deductible or out-of-pocket limit, and it won't appear on your plan's Explanation of Benefits.
MythExtra Help will lower my $50 copay.
No. Extra Help can't lower the copay for drugs covered through the bridge.
MythMy drug plan has to sign up before I can use the bridge.
Not true. The bridge runs outside the Part D benefit, and plans don't have to opt in for eligible people to get these drugs.
Sources
- Medicare.gov, Weight loss drugs (Medicare GLP-1 Bridge) (official government site). Checked Oct 28, 2026.
- Centers for Medicare & Medicaid Services, Medicare GLP-1 Bridge: GLP-1 Drugs for $50 a Month (fact sheet, June 2026) (official government site). Checked Oct 28, 2026.
- Centers for Medicare & Medicaid Services, Medicare GLP-1 Bridge (official government site). Checked Oct 28, 2026.
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