MHBP GLP-1 coverage in 2027: 50% tier with no cap per prescription, and a required cvs program

From January 1, 2027, the Mail Handlers Benefit Plan puts GLP-1s for weight management on their own tier. You pay 50% of the plan's allowance with no cap per prescription, and you must join the CVS Weight Management Program.

If 50% or the program is too much: cash now

What the MHBP brochure says

We added a separate tier for covered anti-obesity medications, including GLP-1 medications prescribed for weight management. You pay 50% of the Plan's allowance for up to a 30-day supply at a network pharmacy or up to a 90-day supply through mail order, with no deductible or per-prescription cost-sharing limit.

Source: Mail Handlers Benefit Plan 2027 brochure, Changes section, on opm.gov, read November 2, 2026.

• No deductible applies, and no cap limits what you pay for a fill.
• You also pay any required difference between a brand-name drug and its generic unless you get a brand exception.
• Adults approved for one of these drugs must enroll in the CVS Weight Management Program before coverage begins and stay engaged. The brochure says the program is free.

The brochure gives 1-800-207-2208 for enrolling in the CVS program.

What cash costs today

The brochure states a share of the plan allowance. Ask the plan for your drug's allowance, then compare it with these.

Compounded semaglutide and tirzepatide are pharmacy-made versions that are not FDA-approved and are not Wegovy, Ozempic, Zepbound or Mounjaro.

All federal plans also sit under OPM's 2027 rule on GLP-1 coverage.

Frequently asked questions

Cash does not go through your plan and does not count toward its deductible. 2027 open enrollment dates.