GLP-1 weight loss drugs are now $50 a month for some Americans. Here’s who qualifies
Popular — and expensive — GLP-1 weight loss drugs just got a lot cheaper for many older Americans.Starting Wednesday, the federal government is offering a selection of the brand name medications to certain Medicare and Medicare Advantage beneficiaries for $50 a month through a new trial called Medicare GLP-1 Bridge.The temporary program, which runs until the end of 2027, is the first opportunity for most older adults to get GLP-1s, short for glucagon-like peptide-1 receptor agonists, covered by insurance when used strictly for weight loss. But there are weight and health requirements, and those who already get GLP-1s covered for diseases like diabetes and sleep apnea won’t qualify.Dr. Mehmet Oz, the administrator of the Centers for Medicare & Medicaid Services, said he hopes the program can help his agency collect data to potentially work toward longer-term coverage, while providing immediate relief to cash-strapped older Americans.“The sheer cost of these medications is a huge barrier to access,” he said in a call with reporters. “That ends today.” Eligibility is based on BMI and other conditions Of the more than 70 million Americans enrolled in Medicare, at least 10 million are overweight or obese, said Juliette Cubanski, vice president and director of the program on Medicare policy at the healthcare research nonprofit KFF. But, she said, a narrower slice of that group will have access to this program.There’s no good data on how many people it can benefit — and Oz declined to speculate on the number with reporters. He said data from the program will reveal how many eligible beneficiaries choose to take the drugs, a number his team is keen to learn.To qualify, besides having Medicare drug coverage, you must have a body mass index of 35 or higher, or a BMI of 27 or higher alongside another health condition, such as a past heart attack or stroke, prediabetes or another from a list on the CMS website. BMI measurements are counted at