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

senior man holding up his medicare card stock photo

Everything About Your Medicare Card + Medicare Number

May 12, 2022

Person receiving a vaccine stock photo

Is the Shingles Vaccine Covered by Medicare?

Nov 17, 2022

air purifier stock image

Does Medicare Cover Air Purifiers?

Nov 18, 2022

Medigap plan letters on outstretched fingers stock image

How Do Medigap Premiums Vary?

Apr 12, 2023

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

Does Medicare Cover Light Therapy for Psoriasis?

Jan 17, 2023

Cover image

Can Medicare Advantage Plans be Used Out of State?

Jun 12, 2023

Medicare Enrollment Periods stock image

Explaining the Different Enrollment Periods for Medicare

Feb 3, 2023

SIBO (small intestinal bacterial overgrowth) symptoms stock photo

Does Medicare Cover SIBO Testing?

Dec 1, 2022

doctor examining a patient's varicose veins stock photo

Does Medicare Pay for Varicose Vein Treatment?

Nov 18, 2022

Doctor talking to patients are explaining the treatment of a patient's illness stock photo

How Much Does Rexulti Cost with Medicare?

Jan 24, 2023

Cover image

What to Do When Your Doctor Leaves Your Network

Jul 15, 2025

Cover image

Medicare Deductibles Resetting in 2025

Jan 18, 2024

Orthopaedist at work treating a bunion, stock photo

Does Medicare Pay for Bunion Surgery?

Nov 29, 2022

Upset senior woman crying stock photo

Does Medicare Cover Nuedexta?

Nov 30, 2022

Gloved hands with a scalpel begin a knee replacement surgery

Does Medicare Cover Iovera Treatment?

Jan 11, 2023

Nashville city skyline stock image

14 Best Ways for Seniors to Stay Active in Nashville

Mar 10, 2023

Medigap and Medicare Advantage arrows stock image

Can I switch From Medicare Advantage to Medigap?

Sep 14, 2022

The feet of a person suffering from foot pain stock photo

Does Medicare Cover Cartiva Implants?

Nov 29, 2022

More of our articles

10 Top Medicare Supplement (Medigap) Companies for 2025

20 Questions to Ask Your Medicare Agent

2024 Cost of Living Adjustment

2024 Fair Square Client Retention and Satisfaction Report

2024 Fair Square NPS Report

2025 Medicare Price Changes

Are Medicare Advantage Plans Bad?

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

Can I Choose Marketplace Coverage Instead of Medicare?

Can I Laminate My Medicare Card?

Can Medicare Help with the Cost of Tyrvaya?

Comparing All Medigap Plans | Chart Updated for 2025

Do I Need Medicare If My Spouse Has Insurance?

Do I Need to Renew My Medicare?

Do Medicare Supplement Plans Cover Dental and Vision?

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

Does Medicare Cover Bariatric Surgery?

Does Medicare Cover Bladder Sling Surgery?

Does Medicare Cover Cardiac Ablation?

Does Medicare Cover Cataract Surgery?

Does Medicare Cover Cervical Disc Replacement?

Does Medicare Cover Cold Laser Therapy (CLT)?

Does Medicare Cover Compounded Medications?

Does Medicare Cover Cosmetic Surgery?

Does Medicare Cover Disposable Underwear?

Does Medicare Cover ESRD Treatments?

Does Medicare Cover Hepatitis C Treatment?

Does Medicare Cover Inqovi?

Does Medicare Cover Inspire for Sleep Apnea?

Does Medicare Cover Kidney Stone Removal?

Does Medicare Cover Kyphoplasty?

Does Medicare Cover Linx Surgery?

Does Medicare Cover Medical Marijuana?

Does Medicare Cover Mouth Guards for Sleep Apnea?

Does Medicare Cover Ofev?

Does Medicare Cover Piqray?

Does Medicare Cover Qutenza?

Does Medicare Cover Robotic Surgery?

Does Medicare Cover Scleral Lenses?

Does Medicare Cover Shock Wave Therapy for Plantar Fasciitis?

Does Medicare Cover SI Joint Fusion?

Does Medicare Cover TENS Units?

Does Medicare Cover the WATCHMAN Procedure?

Does Medicare Cover Wart Removal?

Does Medicare Cover Xiafaxan?

Does Medicare Cover Zilretta?

Does Medicare Pay for Allergy Shots?

Does Medicare Pay for Funeral Expenses?

Does Your Plan Include A Free Gym Membership?

Estimating Prescription Drug Costs

Fair Square Client Newsletter: AEP Edition

How Are Medicare Star Ratings Determined?

How Does Medicare Pay for Emergency Room Visits?

How Much Does a Pacemaker Cost with Medicare?

How Often Can I Change Medicare Plans?

How to Become a Medicare Agent

How to Compare Medigap Plans in 2025

Is Balloon Sinuplasty Covered by Medicare?

Is Emsella Covered by Medicare?

Last Day to Change Your Medicare Part D Plan

Medicare 101

Medigap vs. Medicare Advantage

Plan G vs. Plan N

The Easiest Call You'll Ever Make

What If I Don't Like My Plan?

What Is Medical Underwriting for Medigap?

What is Plan J?

What's the Deal with Flex Cards?

When to Choose Medicare Advantage over Medicare Supplement

Why You Should Keep Your Medigap Plan

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