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Visit OAC's Medicare Bridge Resource Hub for practical guidance and resources to help you prepare for your pharmacy visit: #Medicare #BridgeProgram #GLP1 #OAC To view or add a comment, sign in Millions Of Older Americans Now Qualify For GLP-1s Under New Medicare Program Reuters (7/1, Prentice, Niasse) reports a Medicare program starting on Wednesday allows millions of people to qualify for GLP-1 medications for just $50 a month, bringing the highly effective drugs to people aged 65 and older at an affordable price. The 18-month CMS trial program will offer for the first time Novo Nordisks Wegovy and Eli Lillys Foundayo and Zepbound as a weight-loss treatment alone. In the past, Medicare was barred from weight-loss coverage and had paid for the drugs only when prescribed for co-conditions like cardiovascular issues and severe fatty liver disease

Transitioning Medicare coverage of GLP-1s for obesity from the mandatory Medicare GLP-1 Bridge to the voluntary BALANCE model sets up the possibility that beneficiaries with coverage under the short-term program may need to switch Part D plans during the 2027 open enrollment period, with potential cost and coverage implications for other medications they use.

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