06/24/2026
2027 Medicare GLP-1 Bridge Program
What Medicare Beneficiaries Need to Know
๐ฅ Starting July 1, 2026, and continuing through December 31, 2027, eligible Medicare beneficiaries may have access to certain GLP-1 weight-loss medications for a $50 monthly copay through the Medicare GLP-1 Bridge Program. The BALANCE model has been delayed, so the Bridge Program will remain in effect through 2027.
Who May Qualify?
โ Enrolled in Medicare Part D or a Medicare Advantage plan with drug coverage
โ Meet clinical eligibility requirements
โ Receive prior authorization through the Medicare GLP-1 Bridge Program
Covered Medications
โ
Wegovyยฎ (injection and tablets)
โ
Zepboundยฎ KwikPenยฎ
โ
Foundayoยฎ
(Coverage applies when prescribed for weight management and not for conditions already covered under Part D such as diabetes, sleep apnea, or certain cardiovascular indications.)
What Will It Cost?
๐ฒ Just $50 per month
โข No deductible applies
โข Does not count toward Part D out-of-pocket costs
โข Low-Income Subsidy (Extra Help) does not apply
Important to Know
This program operates outside of your Medicare Part D drug plan and is administered through a centralized Medicare process.
โธป
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