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Medicare Weight-Loss Drug Costs May Exceed $50 Cap

3/10/2026

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Story summary
  • Eli Lilly and Company (Lilly) announced that some Medicare beneficiaries may pay more than the $50 monthly cap for weight-loss drugs.
  • Most Medicare Part D plans are expected to honor the cap, though a few may not fully comply.
  • Starting January 1, 2027, GLP-1 drugs will be available through Medicare Part D plans under a Centers for Medicare and Medicaid Services expansion.