Medicare & Ozempic
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
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.
Recommended Articles
What Is the Medicare Birthday Rule in Nevada?
Mar 28, 2023
Does Medicare Cover COVID Tests?
Dec 21, 2022
Explaining IRMAA on Medicare
Dec 21, 2022
Does Medicare Cover Linx Surgery?
Dec 6, 2022
Can Doctors Choose Not to Accept Medicare?
Dec 8, 2022
Saving Money with Alternative Pharmacies & Discount Programs
Feb 1, 2024
Welcome to Fair Square's First Newsletter
Feb 28, 2023
Everything About Your Medicare Card + Medicare Number
May 12, 2022
Medicare Advantage MSA Plans
May 17, 2023
Does Medicare Cover Fosamax?
Nov 30, 2022
Does Medicare Require a Referral for Audiology Exams?
Nov 22, 2022
How to Enroll in Social Security
Apr 28, 2023
Does Medicare Cover Service Animals?
Nov 29, 2022
What People Don't Realize About Medicare
Mar 27, 2023
Does Medicare Cover Driving Evaluations?
Dec 1, 2022
What Are Medicare Part B Excess Charges?
Jan 6, 2023
Does Medicare Cover Cold Laser Therapy (CLT)?
Jun 14, 2023
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?
Get the Fair Square Bulletin
Medicare savings tips, helpful guides, and more.
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
