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In general, to qualify you'll need to: Have Medicare prescription drug coverage, either through a standalone Part D plan or a Medicare Advantage plan that includes drug coverage Meet specific weight and health criteria generally a BMI in the overweight or obese range, along with a weight-related condition such as prediabetes, uncontrolled high blood pressure, heart disease, or chronic kidney disease Not already have Medicare coverage for a GLP-1 through a different diagnosis, such as type 2 diabetes, moderate-to-severe sleep apnea, or fatty liver disease Get prior authorization approval through the Bridge Program, which your prescriber submits on your behalf If you're already taking a GLP-1 for weight loss, you may still qualify
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