Does Medicare Cover Zepbound for Weight Loss?

No, Medicare Part D does not cover Zepbound for weight loss under current federal regulations. Medicare is prohibited by law from covering medications used solely for weight loss, even when medically necessary. This exclusion applies to all GLP-1 receptor agonists like Zepbound when prescribed for obesity management. However, Medicare may cover Zepbound if it's prescribed for an FDA-approved condition other than weight loss, such as type 2 diabetes, though Zepbound is currently only approved for chronic weight management. Some Medicare Advantage plans may offer limited coverage for weight loss medications, but this varies significantly by plan. Patients typically pay the full retail price of approximately $1,000-1,350 per month out-of-pocket.