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GLP-1 Bridge Program

See whether the Medicare GLP-1 Bridge Program may be right for you

The Medicare GLP-1 Bridge Program is designed to help eligible members access certain weight loss medications, also known as GLP-1 drugs. This temporary, nationwide pilot program is offered by the Centers for Medicare & Medicaid Services (CMS) and runs from July 1, 2026, through December 31, 2027. It's important to know that this program is separate from your Medicare Part D prescription drug plan. 

You may be eligible if you:

  • Are enrolled in an eligible Medicare Advantage plan or have Medicare Part D
  • Use a GLP-1 medication for weight loss or maintaining weight loss
  • Meet the Medicare GLP-1 Bridge Program's medical (clinical) criteria

 

  • Wegovy
  • Zepbound KwikPen
  • Foundayo

Note: Pen needles are NOT included.

You'll pay a fixed $50 copay for each prescription filled through the Medicare GLP-1 Bridge Program. This copay is separate from your Medicare Part D prescription drug costs. It does not count toward your Part D deductible or your maximum out-of-pocket (OOP) costs and Extra Help (LIS) does not apply. That means the cost is predictable, but it won't help reduce your other Medicare drug expenses. 

Your doctor will determine whether you qualify for the Medicare GLP-1 Bridge Program. If you qualify, a prior authorization is required before the medication can be covered through the program. Your pharmacy should send claims directly to the Bridge Program instead of your Medicare Part D plan. To process the claim, the pharmacy should use BIN 028918 and PCN MEDDGLP1BR. 

  1. Talk to your doctor about eligibility.
  2. Confirm your pharmacy can process claims for the Medicare GLP-1 Bridge Program.
  3. Make sure to ask your doctor or pharmacist about additional costs and supplies (such as needles) that may be required.

Learn more

For more information on the program, visit the Centers for Medicare & Medicaid Services (CMS) Medicare GLP-1 Bridge page.

To see if you might qualify or for additional information on the program, check out the Weight Loss Drugs page on medicare.gov.

 

Additional resources

Medicare GLP-1 Bridge: Information for Pharmacies

Medicare GLP-1 Bridge: Prior Authorization Request Form

Medicare GLP-1 Bridge: Information for Prescribers

Health Alliance Plan of Michigan has HMO, HMO C-SNP, HMO-POS and PPO plans with Medicare contracts. HAP Medicare Complete Duals (HMO D-SNP), HAP Medicare Complete Assist (PPO D-SNP) and HAP CareSource™ MI Coordinated Health (HMO D-SNP) are Medicare health plans with a Medicare contract and a contract with the Michigan Medicaid Program that provides benefits of both programs to enrollees. Enrollment depends on contract renewals.