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 8-Minute Rule on Medicare?
Dec 21, 2022
Does Medicare Cover Ofev?
Dec 2, 2022
Does Medicare Cover Physicals & Blood Work?
Feb 1, 2024
Can Medicare Advantage Plans Deny Coverage for Pre-Existing Conditions?
Mar 28, 2023
Does Medicare Cover Bladder Sling Surgery?
Jan 11, 2023
How is Medicare Changing in 2025?
Dec 21, 2022
How to Become a Medicare Agent
Aug 30, 2023
Does Medicare Cover Cataract Surgery?
Dec 22, 2022
How Do Medicare Agents Get Paid?
Apr 12, 2023
What Is a Medicare Supplement SELECT Plan?
Apr 25, 2023
14 Best Ways for Seniors to Stay Active in Nashville
Mar 10, 2023
Does Medicare Cover Xiafaxan?
Jan 19, 2023
13 Best Ways for Seniors to Stay Active in Jacksonville
Mar 3, 2023
Does Medicare Cover ESRD Treatments?
Dec 8, 2022
Does Medicare Cover Air Purifiers?
Nov 18, 2022
Is Displacement Affecting Your Medicare Coverage?
Oct 6, 2022
What's the Deal with Flex Cards?
Dec 15, 2022
Does Medicare Cover the Urolift Procedure?
Dec 6, 2022
More of our articles
13 Best Ways for Seniors to Stay Active in Indianapolis
14 Best Ways to Stay Active in Charlotte
20 Questions to Ask Your Medicare Agent
Can Doctors Choose Not to Accept Medicare?
Can I Choose Marketplace Coverage Instead of Medicare?
Can I Have Two Primary Care Physicians?
Can Medicare Advantage Plans be Used Out of State?
Do You Need Medigap if You're Eligible for Both Medicare and Medicaid?
Does Medicare Cover a Spinal Cord Stimulator?
Does Medicare Cover Breast Implant Removal?
Does Medicare Cover Cardiac Ablation?
Does Medicare Cover Cartiva Implants?
Does Medicare Cover Chiropractic Visits?
Does Medicare Cover Cold Laser Therapy (CLT)?
Does Medicare Cover COVID Tests?
Does Medicare cover Deviated Septum Surgery?
Does Medicare Cover Exercise Physiology?
Does Medicare Cover Hearing Aids?
Does Medicare Cover Hepatitis C Treatment?
Does Medicare Cover Ilumya?
Does Medicare Cover Incontinence Supplies?
Does Medicare Cover Inqovi?
Does Medicare Cover Inspire for Sleep Apnea?
Does Medicare Cover Iovera Treatment?
Does Medicare Cover Ketamine Infusion for Depression?
Does Medicare Cover Krystexxa?
Does Medicare Cover Linx Surgery?
Does Medicare Cover LVAD Surgery?
Does Medicare Cover Macular Degeneration?
Does Medicare Cover Mental Health?
Does Medicare Cover Mouth Guards for Sleep Apnea?
Does Medicare Cover Orthodontic Care?
Does Medicare Cover Ozempic?
Does Medicare Cover SI Joint Fusion?
Does Medicare Cover SIBO Testing?
Does Medicare Cover Stair Lifts?
Does Medicare Cover Tymlos?
Does Medicare Cover Zilretta?
Does Medicare Have Limitations on Hospital Stays?
Does Medicare pay for Opdivo?
Does Retiring at Age 62 Make Me Eligible for Medicare?
Does Your Medicare Plan Cover B12 Shots?
Estimating Prescription Drug Costs
Everything About Your Medicare Card + Medicare Number
Finding the Best Vision Plans for Seniors
How Can I Get a Replacement Medicare Card?
How Do Medigap Premiums Vary?
How Does Medicare Cover Colonoscopies?
How Does Medicare Pay for Emergency Room Visits?
How Does the End of the COVID-19 Public Health Emergency Affect Your Medicare?
How Medicare Costs Can Pile Up
How Much Does a Pacemaker Cost with Medicare?
How Much Does Xeljanz Cost with Medicare?
How to Apply for Medicare?
How to Enroll in Social Security
Is Botox Covered by Medicare?
Is Emsella Covered by Medicare?
Is Fair Square Medicare Legitimate?
Is Gainswave Covered by Medicare?
Is HIFU Covered by Medicare?
Is PAE Covered by Medicare?
Last Day to Change Your Medicare Part D Plan
Medicare Advantage MSA Plans
Medicare Deductibles Resetting in 2025
Medicare Explained
The Easiest Call You'll Ever Make
Welcome to Fair Square's First Newsletter
What Is Medical Underwriting for Medigap?
What is Plan J?
What You Need to Know About Creditable Coverage
When Can You Change Medicare Supplement Plans?
When to Choose Medicare Advantage over Medicare Supplement
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
