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Tuesday, October 20, 2026 · Updated 12:07 PM MT · 43 stories today
Tue, Oct 20 · 43 stories todayPRO
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Federal PolicyJuly 18, 2026

Medicare Part D Now Covers GLP-1s for Weight Loss Under New CMS Policy

Insurance coverage for GLP-1 medications used for weight loss has changed for approximately 56 million Americans. The policy shift affects Medicare Part D beneficiaries and potentially other federal health programs. The coverage expansion comes as GLP-1 drugs like Ozempic and Wegovy gain widespread use for obesity treatment. Medicare previously covered these medications only for diabetes, not weight management alone, making this a significant benefit expansion with major cost implications for plans and enrollees.

Why it mattersMedicaid managed care plans may face increased utilization and pharmacy costs if states adopt similar coverage policies for GLP-1s beyond diabetes indications, requiring formulary reviews and prior authorization strategy updates.

Pharmacy · Managed Care

Read the full article at thehill.com →
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