Medicare GLP-1 Costs 2025: Out-of-Pocket Guide
2025 Medicare Part D Cost Structure
For diabetes-indicated GLP-1 medications covered by Part D:
Deductible Phase
Pay 100% until deductible met ($590 in 2025)
Initial Coverage Phase
Pay 25% of drug cost (after deductible)
Catastrophic Coverage
Pay $0 after reaching $2,000 out-of-pocket cap (new in 2025 via IRA)
Note: The $2,000 out-of-pocket cap is new for 2025 thanks to the Inflation Reduction Act.