pharmaphorum December 24, 2025
Phil Taylor

In the latest of a flurry of announcements ahead of the holiday period, CMS has revealed a new, voluntary access programme that aims to broaden the use of GLP-1 agonist medicines for diabetes and obesity through Medicare and Medicaid.

The Better Approaches to Lifestyle and Nutrition for Comprehensive hEalth (BALANCE) scheme will allow Medicare Part D plans and state Medicaid agencies to cover GLP-1 drugs, after negotiating prices with the federal government.

The announcement comes a few weeks after the Trump administration announced price discounts to $149 per month for GLP-1-acting drugs provided through Medicare and Medicaid, as well as for cash purchasers. That agreement covered Novo Nordisk’s semaglutide products for diabetes (Ozempic) and weight loss (Wegovy), along with Eli...

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