What this means in practice: Your $50 copay doesn't count toward your Part D deductible It doesn't count toward your $2,100 yearly drug spending cap Extra Help (low-income subsidy) doesn't reduce your copay Your Part D plan sponsor isn't involved CMS manages everything centrally through a designated claims processor However: If your doctor prescribes a GLP-1 for diabetes, sleep apnea, or liver disease, you'll get it through your regular Part D plan, and standard Part D cost-sharing will apply
doi: 10.1016/j.jchf.2023.05.010 66 KristensenSLRrthRJhundPSDochertyKFSattarNPreissDet al
Key takeaways Trulicity is a prescription drug used to help manage blood sugar levels and lower the risk of heart problems in certain adults
Diabetes 65(1):3443
Sener S, Akbas A, Kilinc F, Baran P, Erel O, Aktas A
Saxenda may increase the chance of food getting into your lungs during surgery or other procedures