Cost & Coverage
The $50 Medicare GLP-1 Price Excludes Three Diagnoses
Three diagnoses disqualify you from Medicare's $50 GLP-1 price. See why, what a Part D copay really costs, and how cash pay compares.
Cost & Coverage
Insurance, Medicare and self-pay pricing, and the monthly math behind each.
Cost & Coverage
California's GLP-1 Bill Passed. It’s a step in the right direction, but a small one.
SB 1089 passed the California Legislature and awaits the governor. See what it actually does, what it does not do, and what to watch next.
Cost & Coverage
Welcome to the Age of "Temu Telehealth"
Turnkey platforms let almost anyone launch a GLP-1 clinic, one vendor says daily. See why prices fell, where the risk sits, and the 3 names to ask for
Cost & Coverage
The FTC Sued Hims & Hers: What GLP-1 Subscribers Should Check
The FTC sued Hims & Hers over subscription billing and health data. See what it alleges, the company's response, and what to check on your account.
Cost & Coverage
2027 Open Enrollment Runs November 1 to January 15.
2027 marketplace enrollment runs November 1 to January 15. December 15 is the cutoff for coverage that starts January 1.
Cost & Coverage
Your Medicare GLP-1 Bridge Claim Was Rejected. What Now?
A rejected Medicare GLP-1 Bridge claim is usually a paperwork step, not a denial. See the four reasons and what to ask your pharmacy.
More in Cost & Coverage
- Cost & Coverage
Do You Need a Denied Claim First for the GLP-1 Bridge?
Do you need a rejected claim before the Medicare GLP-1 Bridge prior authorization? What CMS actually says, and how the process really works.
- Cost & Coverage
Michigan Medicaid's New GLP-1 Coverage Limits Explained
Michigan Medicaid now limits GLP-1 weight-loss coverage to BMI 40+ with strict rules. See who still qualifies, what changed, and your options.
- Cost & Coverage
Who's Using GLP-1s Now? The 2026 Numbers, Explained
GLP-1 use hit a new high in 2026: about 11% of US adults now take one. See who is using them, the brand vs compounded split, and what it means.
- Cost & Coverage
The GLP-1 Price War: What Cheaper Options Mean for You
Brand GLP-1 cash prices are falling fast. See what Ozempic, Wegovy, and Zepbound cost now, why, and whether your own bill will drop.
- Medications
GLP-1 Coverage Dropped Mid-Year? What You Can Do Next
Insurers and employers are cutting GLP-1 coverage mid-year. See why, how to tell if your plan changed, cash-pay options from $299, and how to appeal.
- Medications
Medicare GLP-1 Bridge: Your Step-by-Step July 1 Guide
The Medicare GLP-1 Bridge starts July 1, 2026. See who qualifies, which drugs cost $50, and how the prior authorization works step by step.
