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 a Medicare Advantage POS Plan?
May 10, 2023
Does Medicare Pay for Bunion Surgery?
Nov 29, 2022
Plan G vs. Plan N
Jan 28, 2022
Does Medicare Cover Robotic Surgery?
Nov 28, 2022
Can I Choose Marketplace Coverage Instead of Medicare?
May 2, 2023
Does Medicare Cover Cosmetic Surgery?
Nov 28, 2022
Can Medicare Advantage Plans Deny Coverage for Pre-Existing Conditions?
Mar 28, 2023
Medigap vs. Medicare Advantage
May 25, 2020
The Easiest Call You'll Ever Make
Jun 28, 2023
What Happens to Unused Medicare Set-Aside Funds?
Jan 20, 2023
2024 Cost of Living Adjustment
Nov 13, 2023
Does Medicare Cover Air Purifiers?
Nov 18, 2022
Does Medicare Cover Mental Health?
Oct 12, 2022
Explaining the Different Enrollment Periods for Medicare
Feb 3, 2023
Gap Health Insurance: The Secret Sidekick to Your High-Deductible Plan
Jul 14, 2025
How to Choose a Medigap Plan
Jan 10, 2023
What Is the Medicare Birthday Rule in Nevada?
Mar 28, 2023
Does Medicare Cover Orthodontic Care?
Nov 18, 2022
More of our articles
13 Best Ways for Seniors to Stay Active in Phoenix
14 Best Ways to Stay Active in Charlotte
15 Best Ways for Seniors to Stay Active in Denver
20 Questions to Ask Your Medicare Agent
2025 Medicare Price Changes
Are Medicare Advantage Plans Bad?
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 switch From Medicare Advantage to Medigap?
Can I Use Medicare Part D at Any Pharmacy?
Can Medicare Advantage Plans be Used Out of State?
Comparing All Medigap Plans | Chart Updated for 2025
Denied Coverage? What to Do When Your Carrier Says No
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 Books on Medicare?
Does Medicare Cover Bariatric Surgery?
Does Medicare Cover Cataract Surgery?
Does Medicare Cover Cervical Disc Replacement?
Does Medicare Cover Chiropractic Visits?
Does Medicare Cover COVID Tests?
Does Medicare cover Deviated Septum Surgery?
Does Medicare Cover Driving Evaluations?
Does Medicare Cover ESRD Treatments?
Does Medicare Cover Flu Shots?
Does Medicare Cover Fosamax?
Does Medicare Cover Hepatitis C Treatment?
Does Medicare cover Hyoscyamine?
Does Medicare Cover Ilumya?
Does Medicare Cover Inqovi?
Does Medicare Cover Iovera Treatment?
Does Medicare Cover Macular Degeneration?
Does Medicare Cover Nuedexta?
Does Medicare Cover Ozempic?
Does Medicare Cover Qutenza?
Does Medicare Cover Shock Wave Therapy for Plantar Fasciitis?
Does Medicare Cover TENS Units?
Does Medicare Cover Zilretta?
Does Medicare Have Limitations on Hospital Stays?
Does Medicare Pay for Antivenom?
Fair Square Bulletin: We're Revolutionizing Medicare
Fair Square Client Newsletter: AEP Edition
How Does the End of the COVID-19 Public Health Emergency Affect Your Medicare?
How Medicare Costs Can Pile Up
How Much Does a Medicare Coach Cost?
How Much Does Open Heart Surgery Cost with Medicare?
How to Deduct Medicare Expenses from Your Taxes
Is Balloon Sinuplasty Covered by Medicare?
Is Botox Covered by Medicare?
Is Displacement Affecting Your Medicare Coverage?
Is Emsella Covered by Medicare?
Is PAE Covered by Medicare?
Last Day to Change Your Medicare Part D Plan
Medicare 101
Medicare Advantage MSA Plans
Medicare Advantage Plans for Disabled People Under 65
Medicare Consulting Services
Medicare Explained
Medicare Supplement Plans for Low-Income Seniors
The Fair Square Bulletin: October 2023
Turning 65 and Thinking of Keeping COBRA? Here’s Why It Usually Backfires
Welcome to Fair Square's First Newsletter
What Are Medicare Part B Excess Charges?
What If I Don't Like My Plan?
What is a Medicare Beneficiary Ombudsman?
What People Don't Realize About Medicare
What's the Difference Between HMO and PPO Plans?
Which Medigap Policies Provide Coverage for Long-Term Care?
Why Is Medicare So Confusing?
Will Medicare Cover Dental Implants?
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
