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White House Strikes Deals With Lilly and Novo to Cut GLP‑1 Prices, Open Limited Medicare Coverage

Implementation begins in 2026 through a Medicare pilot with direct sales on TrumpRx.

Overview

  • Confirmed price bands set starter or oral doses at about $149 per month pending FDA approvals, government pricing at roughly $245, and TrumpRx injectables initially near $350 trending to $245 within two years.
  • Medicare will run a mid‑2026 Part D pilot with a $50 monthly copay for eligible patients, covering about 10% of beneficiaries across three defined clinical cohorts.
  • TrumpRx.gov is slated to launch in January 2026 to sell discounted GLP‑1 prescriptions directly to consumers outside insurance.
  • States can opt in to the $245 monthly Medicaid pricing for covered uses, while the impact on private insurers and total program costs remains unresolved.
  • Eli Lilly and Novo Nordisk receive concessions reported to include tariff relief and expedited FDA review vouchers in exchange for the pricing commitments.