Not all Part D plan members are eligible This demonstration is for beneficiaries who do not have a medically coverable indication to receive a GLP-1 through their Part D plan now, said a CMS official during a recent webinar about the program hosted by the National Community Pharmacists Association
After January 1, 2026, that pathway closed for adults 21 and older when the indication is weight loss alone
It usually takes four or more independent generics in the market before prices reach reductions of 50-60% or greater than consumers usually expect from generics, Kesselheim told CNN by email
It is not approved for human use, veterinary use, therapeutic applications, diagnostic procedures, or clinical use
While they can help with weight loss, especially in people with obesity, their effectiveness is enhanced when used alongside lifestyle changes such as a healthy diet and regular physical activity