Medicare GLP-1 Eligibility Checker
Check which coverage route to discuss with your prescriber. This preliminary check cannot approve coverage.
How this check works: sources and privacy
Rules checked September 26, 2026. Read the CMS criteria or use Medicare's official checker.
Your answers are used on this page and are not saved by this tool. You can skip the questions and read the drug-by-drug coverage guide.
Step 1 of 3
Do you meet the enrollment requirements?
Which plan arrangements qualify?
Qualifying coverage includes a standalone PDP or an eligible Medicare Advantage coordinated-care plan with Part D, including qualifying SNP, EGWP and LI NET enrollment. CMS excludes private fee-for-service plans, cost-contract plans, health care prepayment plans, PACE organizations, fallback plans and religious fraternal benefit plans unless you also have an eligible standalone PDP, where applicable. Ask Medicare or SHIP if you are unsure of your plan type.
CMS plan-type rulesChoose Not sure if you have not confirmed this. You do not need to switch to a Humana plan to use its central processing service.
Your insurer does not need to opt into the Bridge. Confirm drug coverage before changing plans.