weight-loss meds on
Medicare — finally.
we'll handle the rest.
Starting July 1, 2026, eligible Medicare Part D members can get Wegovy, Zepbound, or Foundayo for $50 a month. We complete your prior authorization, consultation, and appeals — and send your prescription to the pharmacy you choose.
$50/mo
your medication at the pharmacy
$79 + $39
our processing & membership
A federal program with a deadline. We keep you ahead of it.
what is the medicare glp-1 bridge?
a short window for Medicare to cover weight-loss medication.
For the first time, Medicare is making GLP-1s for weight loss accessible. It's a time-limited demonstration with specific rules — here's the plain-English version.
Jul 2026 – Dec 2027
A time-limited federal demonstration. It won't last forever.
$50 / month
A flat copay for your medication, no matter the Part D stage.
3 medications
Wegovy, Zepbound KwikPen, and Foundayo — for weight loss.
Part D members
You must have Medicare Part D and meet the clinical criteria.
do you qualify?
Four quick questions based on the federal Bridge criteria. We'll tell you where you stand in under a minute.
A preliminary check, not a final determination. Final eligibility is confirmed by a clinician's attestation during prior authorization.
let's check your eligibility
Four questions about your Medicare coverage and health history.
covered through the bridge
When prescribed for weight loss or weight maintenance.
Note: only the Zepbound KwikPen is included — single-dose vials and pens are not.
not eligible for the bridge
These are already covered under standard Part D — we'll route you there instead.
Type 2 diabetes
Already covered under standard Part D.
Moderate–severe sleep apnea
Covered under Part D, not the Bridge.
MASH / fatty liver
Covered under Part D, not the Bridge.
how we help
the bridge has rules. we know them cold.
Prior authorization, central-processor routing, KwikPen formulations, attestations — the details that trip people up are the details we handle for you.
Eligibility review
We confirm your Part D enrollment and that you meet the Bridge's BMI and condition criteria.
Clinical consultation
A licensed clinician reviews your history and completes the required attestations.
Prior authorization
We submit your prior authorization to the central processor — correctly the first time.
Appeals if needed
If anything is rejected, we write the appeal and letters of medical necessity and resubmit.
Sent to your pharmacy
We send the approved prescription — written for the right KwikPen formulation — to the pharmacy you choose.
Refills managed
We handle reauthorizations and any switch between covered drugs so your $50 refills never stall.
what it costs
two service fees. one pharmacy copay.
Our fees cover the work of getting you approved. Your medication is paid separately at the pharmacy.
initial processing
$79one-time
Prior authorization, clinical consultation, and your prescription sent to your pharmacy.
membership
$39/ month
Refills, reauthorizations, appeals, and letters of medical necessity — for as long as you need them.
at the pharmacy
$50/ month
The federal Bridge copay for your medication. Paid to the pharmacy, not to us.
Neither service fee includes the cost of medication.
the fine print, in plain english
rules & things to know
It runs outside your Part D plan
The Bridge is administered by a central processor, so your plan doesn't have to opt in and your copay doesn't route through it.
The $50 doesn't count toward your deductible
It also can't be reduced by Extra Help, coupons, or other discount programs. It's a flat $50 each month.
Formulation matters
Only the Zepbound KwikPen is covered — not single-dose vials or pens. We make sure your prescription is written correctly.
Refills are simpler than the first fill
After your first approval, refills don't need a new prior authorization — unless you switch to a different covered GLP-1.
Only 28 or 30-day fills
The Bridge covers monthly supplies. We schedule your refills to keep coverage continuous.
BMI is judged at therapy start
If you already lost weight on a GLP-1, your clinician can attest to your BMI when you first started — you won't be penalized for progress.
questions, answered
How is this different from regular Medicare drug coverage?
Federal law bars Part D from covering GLP-1s for weight loss. The Bridge is a separate, time-limited demonstration that sits outside Part D specifically to make weight-loss GLP-1s accessible at a flat $50/month.
What do your $79 and $39 fees pay for?
The $79 initial fee covers your prior authorization, clinical consultation, and sending your prescription to the pharmacy. The $39/month membership covers refills, reauthorizations, appeals, and letters of medical necessity. Neither includes the $50 medication copay.
What if I have type 2 diabetes?
Then you're not eligible for the Bridge — but that's good news: GLP-1s for diabetes are already covered under standard Part D. We'll point you in the right direction.
Can I pick my own pharmacy?
Yes. Once your prior authorization is approved, we send the prescription to whatever pharmacy you prefer.
When can I actually start?
Prior authorizations are accepted starting July 1, 2026. We prepare everything beforehand so your request goes in the moment the Bridge opens.
the window opens July 1.
be ready.
Check your eligibility today and we'll have your paperwork ready the moment the Bridge goes live.