Kit · Obesity medicine · Medicare

Get every Medicare GLP-1 Bridge prior auth right the first time.

Through December 2027, Medicare covers Wegovy, Zepbound KwikPen and Foundayo for weight management through the GLP-1 Bridge. It has its own prior auth, a signed attestation, a 72-hour clock and no appeals. This kit gives your office the screener, chart note, scripts, letters and tracker to handle it.

The problem

The Bridge runs outside Part D, with its own eligibility rules based on BMI when the GLP-1 was first started. Patients with type 2 diabetes, sleep apnea or MASH have to go through Part D instead, and some plan types are excluded. The prior auth can only be filed after the pharmacy claim exists. A wrong answer means a denial, and you can’t appeal it, only resubmit.

This kit turns those rules into a routine your front desk and MAs can follow every time.

What’s inside

Who it’s for

Obesity-medicine, primary care and DPC practices prescribing GLP-1s to Medicare patients: clinicians, MAs and prior-auth staff.

What you get

An editable Word file, a 10-page print-ready PDF and an Excel tracker. Instant download. Licensed for use within one practice.

Questions

How is this different from the free checklist?

The free checklist explains the rules. The kit is what your team uses every day: the screener, chart note, scripts, letters and the tracker that watches the deadlines.

What about commercial plans?

The Bridge only covers Medicare patients. For commercial prior auths and appeals, see the GLP-1 Prior Auth & Appeal Letter Kit.

Can the rules change?

Yes. CMS can update the Bridge at any time. The kit was checked against CMS guidance in October 2026; confirm current rules on the CMS Bridge pages.

Templates & education only. Not legal, billing, or clinical advice. You attest to the CMS form under penalty of perjury, so every answer must match the chart. Nothing here guarantees approval.

Lagda writes the prior-auth justification for you.

The Obesity & Weight-Management app builds the note and the justification from the encounter you tapped.

See Lagda for obesity →