---
title: "Medicare GLP-1 Bridge Program: What It Is and How It Works (2026) | Dalton Insurance Agency"
description: "Medicare GLP Bridge Program guide for 2026. Learn BMI eligibility tiers, pharmacy billing codes (BIN 028918), the 72-hour process, and download the CMS fax form."
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            "name": "Does the Bridge work with any Medicare plan?",
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# Medicare GLP-1 Bridge Program: What It Is and How It Works (2026)

A pharmacist-led guide to Medicare's GLP-1 Bridge pilot: who qualifies by BMI tier, how pharmacy billing works (BIN 028918), the 72-hour prior authorization workflow, and what the $50 copay does (and does not) count toward.

## Who the Bridge is for

The Bridge program is designed for Medicare beneficiaries who meet BMI and clinical criteria for anti-obesity GLP-1 medications such as Wegovy or Zepbound. Eligibility tiers, pharmacy BIN 028918 billing, and the 72-hour prior authorization clock all matter before a pharmacy can dispense.

If you are comparing coverage options while on GLP-1 therapy, also review your [Part D formulary](/part-d), [Medicare Advantage](/medicare-advantage) networks, and [Medigap](/medicare-supplement) gaps so drug access and medical coverage stay aligned.

## What to verify before you fill

-   BMI tier and documented comorbidities that support eligibility
-   Pharmacy can route Bridge claims to BIN 028918
-   Doctor office is ready for the 72-hour prior authorization window
-   You understand the $50 Bridge copay does not reduce Part D TrOOP

## Local help in Alabama

Dalton Insurance Agency in Dadeville helps Alabama seniors coordinate drug coverage with the rest of their Medicare plan. Start with our [Medicare in Alabama guide](/medicare-alabama), [Annual Enrollment Period checklist](/annual-enrollment-period), or a [Dadeville Medicare advisor visit](/service-areas/dadeville-medicare-advisor).

[Open the full GLP-1 Bridge prior authorization guide](/medicare-glp1-bridge-prior-authorization.html) · [Book a free consultation](/appointments) · [Call (334) 489-3624](tel:+13344893624) · [Medicare blog](/blog) · [Free calculators](/resources/calculators)