Eli Lilly’s Q1 2026 strategy focuses on leveraging the Medicare GLP-1 bridge program to expand coverage and ensure gradual patient activation, preparing for full market normalization by 2028.
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How does Eli Lilly plan to navigate Medicare coverage expansion strategies for obesity medications in Q1 2026?
Eli Lilly is positioning its Medicare access strategy around (1) the CMS extension of the Medicare GLP-1 bridge program beginning no later than July 1, 2026 through December 2027 with a $50/month out-of-pocket cap, and (2) a deliberate activation ramp so seniors covered through Medicare can be identified, educated, started, and supported over time rather than assuming instant penetration. 123
While the question is Medicare-specific, Lilly’s excerpts tie activation to broader access and digital/payer/customer infrastructure:
In Q1 2026, Lilly’s plan is to use the CMS Medicare bridge program (starting no later than July 1, 2026 through Dec 2027, with $50/month senior cost sharing) as the primary near-term coverage ramp, then actively manage patient activation through education and access support (including physician-based pharmacy and consumer education), expecting a gradual build in 2026 and growth in 2027. 12 Lilly also expects that the $50 co-pay supports persistence, referencing observed persistency in its obesity medicines (Zepbound/Mounjaro) and positioning this as a key success factor while recognizing adoption will be incremental rather than automatic. 245 Finally, Lilly intends to work closely with government through the bridge period and continue preparing for the ’28 normalization effort. 63
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