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

Birthday stock image

What Is the Medicare Birthday Rule in Nevada?

Mar 28, 2023

COVID-19 at home test stock image

Does Medicare Cover COVID Tests?

Dec 21, 2022

Senior couple going over their finances stock photo

Explaining IRMAA on Medicare

Dec 21, 2022

senior man experiencing discomfort stock image

Does Medicare Cover Linx Surgery?

Dec 6, 2022

Male doctor with his arms crossed stock image

Can Doctors Choose Not to Accept Medicare?

Dec 8, 2022

Cover image

Saving Money with Alternative Pharmacies & Discount Programs

Feb 1, 2024

Cover image

Welcome to Fair Square's First Newsletter

Feb 28, 2023

senior man holding up his medicare card stock photo

Everything About Your Medicare Card + Medicare Number

May 12, 2022

Cover image

Medicare Advantage MSA Plans

May 17, 2023

Leg bones and knees, 3d rendering. stock photo

Does Medicare Cover Fosamax?

Nov 30, 2022

Senior woman receiving an ear exam stock photo

Does Medicare Require a Referral for Audiology Exams?

Nov 22, 2022

Enroll in Social Security step-by-step with the help of Fair Square stock image

How to Enroll in Social Security

Apr 28, 2023

Man with disability and service dog stock photo

Does Medicare Cover Service Animals?

Nov 29, 2022

Cover image

What People Don't Realize About Medicare

Mar 27, 2023

male driver taking notes from behind the wheel stock image

Does Medicare Cover Driving Evaluations?

Dec 1, 2022

Illustrated referential images of a hospital bill, coins, cash in a wallet, a calculator, and a magnifying glass

What Are Medicare Part B Excess Charges?

Jan 6, 2023

Cover image

Does Medicare Cover Cold Laser Therapy (CLT)?

Jun 14, 2023

Senior woman having vision problems stock photo

Does Medicare Cover Macular Degeneration?

Nov 30, 2022

More of our articles

13 Best Ways for Seniors to Stay Active in Philadelphia

2025 Medicare Price Changes

Can I Change Medicare Advantage Plans Any Time? | Medicare Plans

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

Can I Have Two Primary Care Physicians?

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

Costco Pharmacy Partners with Fair Square

Do All Hospitals Accept Medicare Advantage Plans?

Do You Need Medigap if You're Eligible for Both Medicare and Medicaid?

Does Medicare Cover Air Purifiers?

Does Medicare Cover Bariatric Surgery?

Does Medicare Cover Breast Implant Removal?

Does Medicare Cover Cardiac Ablation?

Does Medicare Cover Chiropractic Visits?

Does Medicare Cover Compounded Medications?

Does Medicare cover Deviated Septum Surgery?

Does Medicare Cover Flu Shots?

Does Medicare Cover Hepatitis C Treatment?

Does Medicare cover Hyoscyamine?

Does Medicare Cover Inqovi?

Does Medicare Cover Inspire for Sleep Apnea?

Does Medicare Cover Iovera Treatment?

Does Medicare Cover Jakafi?

Does Medicare Cover Ketamine Infusion for Depression?

Does Medicare Cover Lipoma Removal?

Does Medicare Cover Mental Health?

Does Medicare Cover Nexavar?

Does Medicare Cover Orthodontic Care?

Does Medicare Cover Qutenza?

Does Medicare Cover Robotic Surgery?

Does Medicare Cover Scleral Lenses?

Does Medicare Cover SIBO Testing?

Does Medicare Cover Stair Lifts?

Does Medicare Cover Vitamins?

Does Medicare Pay for Allergy Shots?

Does Medicare Pay for Funeral Expenses?

Estimating Prescription Drug Costs

Fair Square Client Newsletter: AEP Edition

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 Do Medigap Premiums Vary?

How Does the End of the COVID-19 Public Health Emergency Affect Your Medicare?

How Much Does a Medicare Coach Cost?

How Much Does Medicare Cost?

How Much Does Medicare Part A Cost in 2025?

How Much Does Xeljanz Cost with Medicare?

Is Botox Covered by Medicare?

Is Emsella Covered by Medicare?

Is Fair Square Medicare Legitimate?

Is Vitrectomy Surgery Covered by Medicare?

Last Day to Change Your Medicare Part D Plan

Medicare & Ozempic

Medicare 101

Medicare Deductibles Resetting in 2025

Medicare Supplement Plans for Low-Income Seniors

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

Medigap vs. Medicare Advantage

Moving? Here’s What Happens to Your Medicare Coverage

Plan G vs. Plan N

Turning 65 and Thinking of Keeping COBRA? Here’s Why It Usually Backfires

What Is a Medicare Supplement SELECT Plan?

What is the Medicare ICEP?

What To Do If Your Medicare Advantage Plan Is Discontinued

What to Do When Your Doctor Doesn't Take Medicare

What to Do When Your Doctor Leaves Your Network

What's the Deal with Flex Cards?

When Can You Change Medicare Supplement Plans?

Which Medigap Policies Provide Coverage for Long-Term Care?

Will Medicare Cover Dental Implants?

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