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CBS News

Medicare to launch GLP-1 weight-loss drug coverage pilot on July 1, 2026 with $50 monthly copay

AI Market Summary
CMS will launch an 18-month "Medicare GLP-1 Bridge" pilot starting July 1, 2026, allowing eligible Part D beneficiaries to access obesity-only GLP-1 therapies with a $50 monthly copay. The program expands reimbursed demand for Eli Lilly's Zepbound/Foundayo and Novo Nordisk's Wegovy, potentially improving near-term volume visibility, while the 2027 end date and lack of a defined extension path create policy-duration uncertainty.
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The Centers for Medicare & Medicaid Services will begin an 18-month pilot program on July 1, 2026 to cover GLP-1 drugs prescribed for weight loss, including Eli Lilly’s (LLY) Zepbound and Foundayo and Novo Nordisk’s (NVO) Wegovy. Eligible Medicare beneficiaries will pay a $50 monthly copay and will not need to meet the Part D deductible. The program is expected to cover about 3.8 million patients and is scheduled to expire at the end of 2027, leaving future coverage uncertain.