{
 "title": "Medicare GLP-1 Bridge statistics",
 "license": "CC BY 4.0",
 "source": "https://glpchart.com/stats/",
 "rows": [
  {
   "measure": "Flat monthly price",
   "value": "$50",
   "detail": "Qualifying Part D members, prior authorization required",
   "source": "CMS"
  },
  {
   "measure": "Covered products",
   "value": "Wegovy, Foundayo, the Zepbound KwikPen",
   "detail": "The pen counts. The Zepbound vials do not.",
   "source": "CMS"
  },
  {
   "measure": "Window opens",
   "value": "July 1, 2026",
   "detail": "Qualifying Part D members only",
   "source": "CMS"
  },
  {
   "measure": "Window closes",
   "value": "December 31, 2027",
   "detail": "No renewal announced",
   "source": "CMS"
  },
  {
   "measure": "Fill quantity",
   "value": "One monthly supply per fill",
   "detail": "One fill = a single monthly supply of 28 or 30 days. CMS verbatim: 'Beneficiaries who are approved for coverage under the Medicare GLP-1 Bridge may obtain a single monthly supply (28 or 30 days) of an eligible GLP-1 product per fill. Sixty or ninety-day fills are not available.' Verified 2026-07-19 on the Information for Pharmacies page. This RESOLVES the open per-fill vs per-month question: CMS says '$50 copay' and the site renders '$50 a month', and because no fill exceeds one monthly supply those are the same number. The site wording is correct.",
   "source": "CMS"
  },
  {
   "measure": "Low Income Subsidy",
   "value": "Does not reduce the price",
   "detail": "No low-income subsidy on Bridge drugs. CMS verbatim: 'there is no low-income subsidy (LIS) provided for LIS beneficiaries'. Extra Help does NOT reduce the $50. Verified 2026-07-19 at cms.gov/medicare/coverage/prescription-drug-coverage/medicare-glp-1-bridge. FRAMING RULE: do not write this as a loss. Part D never covered a weight-loss GLP-1 (2003 statute), so an Extra Help beneficiary is not losing a cheaper price they would otherwise have had; their alternative is the cash market at $149+. It is an expectation correction. Extra Help DOES apply on the regular Part D route (T2D / OSA / MASH), which is why the checker states it on both screens with opposite valence.",
   "source": "CMS"
  }
 ]
}