Fair Square Medicare Wordmark

Medicare & Ozempic

Cover image

By Daniel Petkevich

Jul 20, 2023

Does Medicare Part D cover popular GLP-1 Agonist drugs like Ozempic and Mounjaro?

When it comes to managing health conditions, Medicare provides crucial coverage for various medications. However, determining the coverage for specific drugs and indications can be complex. This blog post will explore the question: Does Medicare Part D cover popular GLP-1 agonist drugs like Ozempic and Mounjaro? Let's delve into the details to gain a better understanding.

Speak with a Medicare Advocate

Talk to one of our Licensed Medicare Agents today to find the right plans for you.

Understanding GLP-1 Agonist Drugs

GLP-1 agonist drugs, such as Ozempic (semaglutide) and Mounjaro (dulaglutide), are commonly prescribed to help manage type 2 diabetes. These medications work by increasing insulin secretion, reducing glucagon production, and promoting weight loss.

Medicare Coverage Limitations

Medicare coverage of obesity services and treatments currently includes obesity screening, behavioral counseling, and bariatric surgery but does not include drugs prescribed for weight loss. Medicare Part D primarily covers GLP-1 agonist drugs only when prescribed for treating type two diabetes. When covered, these drugs are subject to the formularies and rules of each Medicare Part D plan, including prior authorization or step therapy.

Consulting Healthcare Providers

Consult your healthcare provider to determine the coverage options and eligibility for GLP-1 agonist drugs. They will assess your specific health needs, review the available treatment options, and provide guidance on whether GLP-1 agonists are appropriate for your situation.

Checking Formularies and Coverage

It's essential to review the formulary of your specific Medicare Part D plan to gain clarity on coverage for GLP-1 agonist drugs. A formulary is a list of drugs covered by your plan and provides information on coverage restrictions, requirements, and limitations. Keep in mind that Medicare policies can change over time. New research and medical advancements may influence coverage decisions. Our licensed agents can help you find plans that do have GLP-1 agonist drugs in their formulary: They can be reached at (888)-376-2028.

Conclusion

While GLP-1 agonist drugs like Ozempic and Mounjaro have shown potential for weight loss, Medicare currently only covers these drugs for diabetes treatment. Consulting with your healthcare provider and reviewing your specific Medicare Part D plan's formulary are essential steps to understand your coverage options and determine the most suitable course of action for your weight management needs.

Speak with a Medicare Advocate

Talk to one of our Licensed Medicare Agents today to find the right plans for you.

Recommended Articles

Cover image

Medigap Plan N vs. Plan G — Which One Fits You in 2025?

Jul 14, 2025

Acute psoriasis on elbows is an autoimmune incurable dermatological skin disease stock photo

Does Medicare Cover Light Therapy for Psoriasis?

Jan 17, 2023

senior man reaching to his ear with jumbled letters going into the ear stock image

Does Medicare Cover Hearing Aids?

Nov 9, 2022

Visiting a hospital front desk illustrated stock image

Do All Hospitals Accept Medicare Advantage Plans?

Apr 11, 2023

Screenshot 2025-03-19 at 5.02.46 PM

2024 Fair Square NPS Report

Mar 19, 2025

Diagnosis overactive bladder stock image

Does Medicare Cover PTNS?

Dec 9, 2022

Physiotherapist showing workout record on exercise bike

Does Medicare Cover Exercise Physiology?

Jan 11, 2023

Diagnosis incontinence stock image

Does Medicare Cover Incontinence Supplies?

Dec 22, 2022

senior gentleman wearing a suit working on his laptop outside of his office stock photo

How Your Employer Insurance and Medicare Work Together

Sep 27, 2022

Nasal spray stock image

Can Medicare Help with the Cost of Tyrvaya?

Jan 12, 2023

Cover image

Does Medicare Cover RSV Vaccines?

Sep 13, 2023

senior man holding out his medicare card stock image

Can I Laminate My Medicare Card?

Dec 22, 2022

Close up of a woman sitting on a bed experiencing back pain

Does Medicare Cover TENS Units?

Nov 23, 2022

The feet of a man suffering from foot pain stock photo

Does Medicare Cover Krystexxa?

Nov 18, 2022

Cover image

The Fair Square Bulletin: October 2023

Oct 2, 2023

senior man on a phone call stock image

Last Day to Change Your Medicare Part D Plan

Jul 14, 2025

Cover image

Why You Should Keep Your Medigap Plan

Sep 21, 2023

Vitamin in a syringe stock photo

Does Your Medicare Plan Cover B12 Shots?

Aug 15, 2022

More of our articles

10 Top Medicare Supplement (Medigap) Companies for 2025

14 Best Ways for Seniors to Stay Active in Nashville

14 Best Ways for Seniors to Stay Active in Seattle

14 Best Ways for Seniors to Stay Active in Washington, D.C.

2024 Fair Square Client Retention and Satisfaction Report

2025 Medicare Price Changes

Building the Future of Senior Healthcare

Can Doctors Choose Not to Accept Medicare?

Can I Change My Primary Care Provider with an Advantage Plan?

Can I Choose Marketplace Coverage Instead of Medicare?

Can Medicare Advantage Plans Deny Coverage for Pre-Existing Conditions?

Costco Pharmacy Partners with Fair Square

Do I Need Medicare If My Spouse Has Insurance?

Do You Need Books on Medicare?

Does Medicare Cover Cala Trio?

Does Medicare Cover COVID Tests?

Does Medicare Cover Disposable Underwear?

Does Medicare Cover Driving Evaluations?

Does Medicare Cover ESRD Treatments?

Does Medicare Cover Fosamax?

Does Medicare Cover Hoarding Cleanup?

Does Medicare Cover Iovera Treatment?

Does Medicare Cover Jakafi?

Does Medicare Cover Kyphoplasty?

Does Medicare Cover Macular Degeneration?

Does Medicare Cover Mental Health?

Does Medicare Cover Nuedexta?

Does Medicare Cover Scleral Lenses?

Does Medicare Cover Wart Removal?

Does Medicare Cover Zilretta?

Does Medicare Pay for Allergy Shots?

Does Medicare Require a Referral for Audiology Exams?

Estimating Prescription Drug Costs

Explaining IRMAA on Medicare

Explaining the Different Enrollment Periods for Medicare

Fair Square Bulletin: We're Revolutionizing Medicare

Fair Square Client Newsletter: AEP Edition

Finding the Best Vision Plans for Seniors

Health Savings Accounts (HSAs) and Medicare

How Are Medicare Star Ratings Determined?

How Can I Get a Replacement Medicare Card?

How Do I Sign up for Medicare? A Simple How-To Guide For You

How Medicare Costs Can Pile Up

How Much Does Open Heart Surgery Cost with Medicare?

How Much Does Xeljanz Cost with Medicare?

How to Apply for Medicare?

How to Become a Medicare Agent

How to Choose a Medigap Plan

How to Compare Medigap Plans in 2025

How to Deduct Medicare Expenses from Your Taxes

Is Gainswave Covered by Medicare?

Is PAE Covered by Medicare?

Medicare Advantage MSA Plans

Medicare Advantage Plans for Disabled People Under 65

Medicare Explained

Medicare Guaranteed Issue Rights by State

Moving? Here’s What Happens to Your Medicare Coverage

Plan G vs. Plan N

Saving Money with Alternative Pharmacies & Discount Programs

Seeing the Value in Fair Square

The Easiest Call You'll Ever Make

Welcome to Fair Square's First Newsletter

What Are Medicare Part B Excess Charges?

What Does Medicare Cover for Stroke Patients?

What Is Medical Underwriting for Medigap?

What is Plan J?

What Is the Medicare Birthday Rule in Nevada?

What is the Medicare ICEP?

What You Need to Know About Creditable Coverage

What's the Deal with Flex Cards?

Which Medigap Policies Provide Coverage for Long-Term Care?

Will Medicare Cover it?

Your Medicare One-Stop-Shop

Your guide to Medicare Parts A & B, Medicare Advantage, and Medigap. 100% free.

Get the Fair Square Bulletin

Medicare savings tips, helpful guides, and more.

About

Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans

Fair Square 2025

Terms of Use
Notice of Privacy Practices

Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2025 Help Button Inc

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

MULTIPLAN_FairSquareMedicare_01062022_M

Fair Square Medicare

FSM symbol - 50