AXIOS November 4, 2025
Caitlin Owens, Maya Goldman

The Trump administration is closing in on a deal to allow Medicare coverage of weight loss drugs by Eli Lilly and Novo Nordisk in some cases, according to multiple reports.

Why it matters: A deal could significantly expand seniors’ access to popular weight loss drugs while drastically decreasing the estimated cost of that coverage.

  • It also could lead to a broader impact on people’s access to these drugs, since Medicare often influences what private insurers choose to cover.

The arrangement would be possible under a deal with the companies that would decrease the price of Novo Nordisk’s Wegovy to $149 a month on the TrumpRX website for the lowest dose and Eli Lilly’s Zepbound to $299,...

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