New on the blog: Medicare and Weight Loss: Counseling, the GLP-1 Bridge and Part D
November 9, 2026 · 0:11
New on the blog Medicare weight care: counseling, Part D, the Bridge Which path may fit you
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Frequently Asked Questions
You must be 18 or older and have a BMI of 35 or more; a BMI of 30 or more with heart failure with preserved ejection fraction, high blood pressure that stays above 140/90 despite two blood pressure medicines, or chronic kidney disease stage 3a or higher; or a BMI of 27 or more with prediabetes, a past heart attack or stroke, or peripheral artery disease with symptoms.
Your provider must certify that you are using the medicine as part of a lifestyle program focused on diet and exercise, and must complete a prior authorization, which is an approval step.
Yes. CMS lists type 2 diabetes among the uses Part D covers, along with Wegovy to lower heart risk in certain adults, Zepbound for moderate to severe obstructive sleep apnea in adults with obesity, and MASH with moderate to advanced liver scarring.