[1] Which pathway applies to you depends on why Zepbound is prescribed and which Medicare plan you have: For weight loss: The Medicare GLP-1 Bridge now covers the Zepbound KwikPen at $50/month for eligible Part D beneficiaries (BMI-based criteria + prior authorization) For obstructive sleep apnea (OSA): May be covered under Part D if your plan includes it on formulary For type 2 diabetes: Tirzepatide is covered under Part D as Mounjaro Medicare Advantage: Coverage for the OSA indication varies by plan Bottom line: Medicare beneficiaries now have a real weight-loss pathway for Zepboundthe $50 Bridge (KwikPen only)plus the long-standing Part D coverage for OSA or type 2 diabetes
Dawn Ericsson, MD, alongside a team that includes nurse practitioners and patient care advisors
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