Wegovy® semaglutide tablets 25 mg, semaglutide injection 1.7 mg, 2.4 mg, 7.2 mg logo

For adults with obesity, or with overweight and at least one weight-related medical problem, along with a reduced-calorie diet and increased physical activity, to help lose weight and keep it off.

Navigating Medicare for Wegovy®

From enrollment to payments, here’s how Medicare prescription coverage works.

Starting July 1

Eligible Medicare patients living with obesity pay

$50

$50

per montha

Medicare GLP-1 Bridge program

Starting July 1, eligible Medicare patients pay $50 per montha
for Wegovy®, through the Medicare GLP-1 Bridge program. This pricing is for adult patients with Medicare prescribed Wegovy® for weight loss only. Talk with your doctor to see if this could be an option for you.

Click here to learn more or call our NovoCare® Obesity and Bridge Support team at 1‑888‑809‑3942,  Monday‑Friday, 8 am‑8 pm ET.

aTerms apply. For eligible Medicare patients prescribed Wegovy® for a covered FDA-approved indication. Eligibility criteria will be determined by the Centers for Medicare and Medicaid Services (CMS). This information is not a guarantee of coverage. Month defined as 1 box of 4 pens of Wegovy® and 1 bottle of 30 tablets of Wegovy®. Visit wegovybridge.novomedlink.com to learn more. 

Medicare Coverage for Wegovy®

Wegovy® is covered through normal Medicare Part D benefits, for eligible patients when prescribed for other FDA-approved uses, including to reduce the risk of major cardiovascular events such as death, heart attack, or stroke in adults with known heart disease and with either obesity or overweight, along with diet and exercise.

Mouse click icon

Select a Part D plan that covers the medication you need

 

You can compare plans at Medicare.gov

Understanding Medicare prescription costs

Learn more about how Medicare works below.

Prefer monthly payments?

Enroll in the Medicare Prescription Payment Plan (MPPP). Instead of an annual lump sum, you’ll pay down your prescription each month.

Steps for MPPP enrollment

Step 1 icon

Opt in to MPPP with your Medicare Part D plan (available as a standalone or part of the Medicare Advantage plan).

Step 2 icon

Once approved, your prescription will be ready at the pharmacy with no upfront charge.

Step 3 icon

You’ll receive a monthly bill that spreads the prescription costs throughout the year.

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Is my Part D plan eligible for MPPP?

You’ll be notified if you qualify:

  • Prior to starting your plan
  • During the plan year
  • At the pharmacy if your prescription cost exceeds $600

Get clear on your costs

Know exactly what you’ll pay out of pocket for your medicine.

2026 Medicare Part D Out-of-Pocket (OOP) Costs*

Phase 1

Deductible

You pay

100%

until you spend $615b

Phase 2

Initial coverage

You pay

25%

until you spend $2,100c

Phase 3

Full coverage

You pay

$0

after you spend $2,100
out of pocketd

You pay Your plan pays

*Prices based on maximum limit set by Medicare.

Need help with prescription costs?

The Medicare Extra Help program provides assistance for people with low income.

2026 Copayment and
Coinsurance Amounts

Medicare Part D

Question mark icon
  Standard of benefitb
Deductible Phase $615
Initial Coverage Phase 25%
(max $2,100 OOP cost)
Full Coverage Phase 0%

Extra Help Program

Question mark icon
  Full subsidyc Dual eligibilityd
Deductible Phase $0 $0
Initial Coverage Phase $5.10 Generic
$12.65 Branded
$1.60 Generic
$4.90 Branded
Full Coverage Phase $0 Generic
$0 Branded
$0 Generic
$0 Branded
  Full subsidyb
Deductible Phase $0
Initial Coverage Phase $5.10 Generic
$12.65 Branded
Full Coverage Phase $0 Generic
$0 Branded
  Dual eligiblityc
Deductible Phase $0
Initial Coverage Phase $1.60 Generic
$4.90 Branded
Full Coverage Phase $0 Generic
$0 Branded

bPlans may vary.
cTo qualify, patients must have an annual income ≤150% of the federal poverty level, which is ≤$23,475 for single people or ≤$31,725 for married people. Additional resource limits apply.
dEligible for Medicare and Medicaid.

Additional cost assistance

Phone icon

Call Social Security at
1-800-772-1213

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Stop by your local Social Security office

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Check if your state offers assistance

Want to keep this info handy?

It’s available to save or print here.