THE MEDICARE GLP‑1 BRIDGE
GLP‑1 Drugs for $50 a Month
This is a temporary program from July 2026 - December 2027.
Call (877) 777-5972Talk to a licensed sales agent about this program.
Your Cost
$50
per month, no matter your income level
What You Need to Know
Starting July 1, 2026, Medicare has a new program called the Medicare GLP‑1 Bridge to help you pay for certain GLP‑1 weight loss medicines. The Medicare GLP‑1 Bridge covers the following drugs:
- Foundayo® Tablet.
- Wegovy® Injection or tablet.
- Zepbound® Kwikpen® only, the single‑dose Zepbound® pen and Zepbound® vials are NOT covered.
Your cost for these drugs under the Medicare GLP‑1 Bridge is $50 per month, no matter your income level.
Is This Part of my Medicare Plan?
No—this is very important.
The Medicare GLP‑1 Bridge:
- Is NOT part of your Medicare Advantage plan.
- Is NOT part of your Part D drug plan.
- Is run directly by Medicare, the Centers for Medicare and Medicaid Services (CMS).
Does This Count Toward my Drug Deductible or Out‑of‑Pocket Costs?
No. These drugs aren’t eligible for the Medicare Prescription Payment Plan. Even though it works alongside Medicare, this program:
- Does NOT count toward your Part D deductible.
- Does NOT count toward your out‑of‑pocket maximum.
- Does NOT move you through coverage stages.
Am I Eligible?
To get the GLP‑1 drugs listed on the previous page under this program, you must meet all four of these requirements:
You have Medicare Part D drug coverage, under either a standalone Medicare Drug Plan or a Medicare health plan that includes drug coverage.
You’re not eligible if your only Medicare coverage is through certain special plan types (like private fee‑for‑service plans, cost contract plans, or a PACE organization). If you’re not sure what type of plan you have, call 1‑800‑MEDICARE (1‑800‑633‑4227). TTY users can call 1‑877‑486‑2048.
You’re not eligible to receive a GLP‑1 drug through your Medicare drug plan.
If you’ve been using a GLP‑1 drug paid by your Medicare drug plan for any reason, you need to keep getting your GLP‑1 drug through your plan. GLP‑1 drugs are defined as products with the following active ingredients: Semaglutide, Tirzepatide, Orforglipron, Dulaglutide, and Liraglutide.
You don’t have Type 2 Diabetes, moderate‑to‑severe sleep apnea, or fatty liver disease.
If you have any of these conditions, contact your Medicare drug plan — they may already cover a GLP‑1 drug for you.
You’re at least 18 years of age AND at least one of the following is true:
- You have a Body Mass Index (BMI) of 35 or higher.
- Your BMI is 30 or higher, and you have certain types of heart failure OR high blood pressure that’s hard to control OR chronic kidney disease (stage 3a or above).
- Your BMI is 27 or higher, and you have prediabetes OR you’ve had a heart attack, stroke, or blocked arteries in your arms or legs.
*Body Mass Index (BMI) is calculated by your doctor based on your height and weight. Ask your doctor what your BMI is if you are unsure.
Not sure if you meet all four requirements? A licensed sales agent can walk through your eligibility with you over the phone, at no cost. Call (877) 777‑5972.
Which Path is Best?
The Medicare GLP‑1 Bridge or Part D?
Which path applies to your prescription?
Part D claims go to the drug plan.
How Do I Get GLP‑1 Drugs Through the Medicare GLP‑1 Bridge?
- Talk to your doctor about whether a GLP‑1 drug is right for you and if you qualify for this program.
- If one of the drugs covered is right for you, your doctor will send a prescription to the pharmacy.
Your pharmacy may reach out to you to request your Medicare ID number. The pharmacist needs your Medicare ID number (printed on your card) to process the prescription. If you don’t have your card, the pharmacist can look up your number using the last four digits of your Social Security Number.
- After the pharmacy receives confirmation that you are eligible for the Medicare GLP‑1 Bridge, your doctor will need to submit a form to get approval from Medicare for coverage.
- You will also receive a letter from Medicare, letting you know your medicine is covered.
- Pick up your medicine at the pharmacy and pay $50 for a one‑month supply. To get a refill, you won’t need new approval from Medicare, so long as you stay on the same drug (even if your dose changes).
This is a temporary program from July 2026 to December 2027. Talk to your doctor, then call a licensed sales agent to check your eligibility.
Call (877) 777-5972This fact sheet is for general information only.
Talk to your doctor to find out if this program is right for you.