Medicare coverage · Texas & Florida
Does Medicare Cover Ozempic?
Partially coveredMedicare Part D plans generally cover Ozempic when it is prescribed for type 2 diabetes. By law, Medicare does not cover drugs used solely for weight loss, though coverage can apply when a GLP-1 is approved for another medical condition. Coverage and cost depend on your specific plan's formulary.
Reviewed for the 2026 plan year · Source: Medicare.gov
How to get Ozempic covered in Texas & Florida
Prescription coverage comes from a Medicare Part D plan or a Medicare Advantage plan that includes drugs (MA-PD) — not Original Medicare alone. In 2026 a $2,100 annual out-of-pocket cap limits what you pay for covered drugs. Because every plan's formulary is different, we check Ozempic against the plans in your Texas or Florida county before you enroll.
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Frequently Asked Questions
Does Original Medicare cover Ozempic?
Medicare Part D plans generally cover Ozempic when it is prescribed for type 2 diabetes. By law, Medicare does not cover drugs used solely for weight loss, though coverage can apply when a GLP-1 is approved for another medical condition. Coverage and cost depend on your specific plan's formulary.
Do Medicare Advantage plans in Texas or Florida cover Ozempic?
Many Medicare Advantage plans in Texas and Florida add or extend coverage for Ozempic beyond Original Medicare. Benefits vary by plan and county, so it pays to compare what's available where you live — we do that for free.
How much does Ozempic cost with Medicare?
Your cost depends on your specific plan, where you live in Texas or Florida, and your providers. We compare every option in your county side by side — free, with no obligation — so you see the real total cost before you choose.