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liraglutide 6 mg/mL Medicare Part D Coverage

Brand name: Victoza
Dosage form
INJECTION
Route
SUBCUTANEOUS
0%
of Medicare Part D plans
cover liraglutide
6 of 5,530 plans
3.3
Avg. formulary tier

Formulary Tier Distribution

How Medicare Part D plans classify liraglutide. Lower tiers = lower copays.

Tier 3 - Preferred Brand 67%
4 plans • avg $45.00/mo
Tier 4 - Non-Preferred Drug 33%
2 plans

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liraglutide Medicare Coverage by State

Coverage rates and average costs vary significantly by state. Click a state to see the specific plans available there.

Alternative Medications in the Same Drug Class

Other drugs in the Diabetes — GLP-1 Agonists that Medicare Part D plans also cover.

Frequently Asked Questions about liraglutide

0% of Medicare Part D plans cover liraglutide. It is most commonly placed on Tier 3. Coverage varies by plan and geographic area.

Costs vary by plan. Enter your ZIP code above to see exact prices for plans in your area.

liraglutide is placed on Tier 3 by most Medicare Part D plans. Lower tier numbers generally mean lower copays.

0% of plans require prior authorization for liraglutide. Prior authorization means your doctor must confirm the drug is medically necessary before the plan will cover it.

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Coverage statistics based on CMS formulary data for plan year 2026. Data updated regularly. Methodology →