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However, this landscape shifted dramatically in late 2025: the Trump administration negotiated deals with Novo Nordisk and Eli Lilly to offer Wegovy and Zepbound at $245/month for Medicare and Medicaid, and CMS launched the BALANCE Model to begin Medicare Part D coverage of GLP-1s for obesity starting in 2027 (with a bridge demonstration in mid-2026) ( [5] )

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