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What's Confirmed for 2026 Zepbound pens on 2026 formulary: The 2026 Express Scripts National Preferred Formulary lists Zepbound pens as covered (vials are excluded) [16] $200/month cap expanding: The Evernorth cost-cap program launched in May 2025 is being offered to more employer groups Medicare GLP-1 Bridge (July 2026): CMS confirmed the Medicare GLP-1 Bridge program begins July 1, 2026 with $50/month copays for eligible beneficiaries (BMI 35, or BMI 30 with specific conditions) [22] What This Means for You Check your specific plan: Coverage depends on your employer's benefit designdon't assume During open enrollment: Ask HR if your employer is adding the $200/month cap or GLP-1 coverage Self-funded employers: Large employers can add or modify GLP-1 coverage at renewal Consider alternatives: If you have Type 2 diabetes, Mounjaro (same active ingredient) may be covered CALL YOUR INSURANCE Verify Your Specific Coverage Verify Your Specific Coverage Even though it takes a little more time, we recommend calling so you can speak with a person who may have more information than the online directory or PDF formulary listing

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This delay can change how quickly a medication enters your bloodstream or how much of it your body actually absorbs