Does Medicare Cover Ozempic, Wegovy, or Mounjaro?
Published 2026-07-04 · Updated 2026-07-08 · MetaDose Research
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Medicare coverage for GLP-1 drugs depends on why you take them. Diabetes indications (Ozempic, Mounjaro) are often covered; weight-loss indications (Wegovy, Zepbound) generally are not under Part D as of 2026.
Part D coverage patterns
Formularies vary by plan and state. Prior authorization and step therapy are common even for covered diabetes indications.
What seniors pay
With Part D coverage for diabetes GLP-1s, many beneficiaries pay roughly $25–$50/month after deductibles, depending on plan phase and IRA caps.
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Frequently Asked Questions
Does Medicare cover Wegovy for weight loss?
As of 2026, Medicare Part D generally does not cover GLP-1 drugs prescribed solely for weight loss. Some exceptions may apply for comorbid conditions — check your plan.
Does Medicare cover Ozempic?
Ozempic for Type 2 diabetes is often covered under Part D. Copays vary by plan; the Inflation Reduction Act may cap out-of-pocket costs for covered drugs.