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Following legal challenges, DHHS reversed these reductions entirely, including the restoration of coverage for GLP-1 medications used for weight management effective December 12, 2025, by direct order of the governor

If the doctor determines a visit is necessary based on your answers, the appointment is free of charge

GLP-1 supplements come in all shapes and sizesfrom pills to powders to patches

What this means in practice: Your $50 copay doesn't count toward your Part D deductible It doesn't count toward your $2,100 yearly drug spending cap Extra Help (low-income subsidy) doesn't reduce your copay Your Part D plan sponsor isn't involved CMS manages everything centrally through a designated claims processor However: If your doctor prescribes a GLP-1 for diabetes, sleep apnea, or liver disease, you'll get it through your regular Part D plan, and standard Part D cost-sharing will apply

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