Just talked to rep at Caremark re:GLP-1

An r/FederalEmployee poster (u/FlashySwordfish1949, self-reported MHBP/Aetna enrollee) shared that a call to Caremark yielded a quote of about $1,900+ for three months of Wegovy (semaglutide) in 2027, while her diabetic husband's Mounjaro (tirzepatide) was only about $400 per three months. In the comments, u/Either_Writer2420 and others worried about the BCBS Standard mail-order price rising from $250 to $1,900; u/-ChiTownGal- mentioned "BCBS may drop Caremark," pending confirmation; u/redraiderredwine noted that this year MHBP was only $80 per three months (or $25 after stacking Eli Lilly coupons). Factually, GLP-1 reimbursement friction at the commercial insurance and pharmacy benefit manager (PBM) level, the Medicare GLP-1 Bridge (CMS/Eli Lilly, 2026-07-01 to 2027-12-31, about $50/month), and non-coverage under some plans are all documented real trends. As speculation, the "$1,900" figure relayed by the poster is a single individual quote; specific plan, dosage, and whether coupons apply vary greatly, so it should not be treated as a general price conclusion.

Checked 🔗 Verified: Medicare