Medicare to Cover Weight Loss Drugs: A $35 Billion Deal

Key Details

• Effective Date: January 2026
• Drugs Covered: Ozempic, Wegovy, and other weight loss medications
• Price Reductions:
• Ozempic: $350/month (down from $1,000)
• Wegovy: $350/month (down from $1,350)
• Other Drugs: Around $145/month

Background

Until recently, Medicare could not cover drugs solely for weight loss. The rules have been evolving as these drugs also show benefits for heart disease. However, covering weight loss alone has been slow due to outdated regulations and cost concerns.

Financial Impact

• Government Cost: The deal is expected to add $35 billion to federal spending from 2026 to 2034.
• Cost per Person: Around $5,600 in 2026.
• National Debt: Already over $38 trillion, this deal could further increase the debt.