Medicare covers Ozempic as a treatment for diabetes, but not for weight loss.
, most plans include prescription drug coverage. With Medicare Advantage, you cannot buy a separate Part D plan.Medicare doesn’t cover Ozempic for weight loss
Despite the prevalence of obesity among older adults, Medicare won’t cover weight loss drugs, including Wegovy. Medicare Part D plans are prohibited from covering drugs “used for anorexia, weight loss or weight gain ),” according to the Medicare Prescription Drug Benefit Manual. The list price for Wegovy is $1,349.02 per four weekly doses. For a full year, that would be slightly more than $17,500.
The high costs of weight loss drugs might be one barrier to change. For example, if 10% of Medicare beneficiaries with obesity took Wegovy, it would cost Medicare Part D about $26.8 billion per year, according to estimates published by researchers at the Vanderbilt University School of Medicine and the University of Chicago Department of Medicine in the New England Journal of Medicine in March 2023.
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