Business
Here’s how much weight loss drugs could cost you under Trump’s deals with Eli Lilly, Novo Nordisk
Wegovy injection pens arranged in Waterbury, Vermont, US, on Monday, April 28, 2025.
Shelby Knowles | Bloomberg | Getty Images
President Donald Trump on Thursday struck landmark deals with Eli Lilly and Novo Nordisk to slash the prices of their blockbuster weight loss drugs.
Under the agreements, the monthly out-of-pocket cost of popular injections and upcoming pills could range from $50 to $350 starting next year, depending on the dosage and insurance coverage a patient has, Trump administration officials said.
Existing GLP-1s, including Eli Lilly’s obesity injection Zepbound and Novo Nordisk’s competitor Wegovy, carry list prices above $1,000 a month, which has prevented many patients from taking them. Both companies have introduced lower cost options for people paying in cash and purchasing the drugs directly through their websites.
But the deals with Trump, as part of his “most favored nation” policy, take those efforts to expand access even further. Here’s how much weight loss drugs could cost for patients under the new agreements, based on the details shared so far.
Medicare
Medicare has covered GLP-1 drugs for diabetes and some other medical conditions: for example, Wegovy for slashing cardiovascular risks. But under the new deals, Medicare will start covering the drugs for obesity for the first time starting in mid-2026, which could allow more seniors to qualify for them and spur more private insurers to cover them.
Certain Medicare patients will pay a copay of $50 per month for all approved uses of GLP-1 drugs, including diabetes and obesity treatment.
But the Trump administration is putting some constraints on which Medicare beneficiaries will be eligible to receive GLP-1s for obesity and cardiovascular and metabolic benefits.
Patients are eligible if they fall into these three cohorts:
- The first includes those who are overweight — with a body mass index greater than 27 — or with prediabetes or established cardiovascular disease.
- The second group is people with obesity – with a BMI greater than 30 – and uncontrolled hypertension, kidney disease or heart failure.
- The third group is patients with severe obesity, or anyone with a BMI greater than 35.
Eli Lilly and Novo Nordisk voluntarily agreed to reduce the prices the government pays for existing GLP-1 drugs already approved for diabetes and other uses to $245 a month, across all non-starting doses. Savings generated by those price reductions will allow Medicare to start paying that same price point for GLP-1s for patients with obesity and a high metabolic or cardiovascular risk.
Direct-to-consumer
The agreement will also allow patients to get GLP-1s on direct-to-consumer platforms at steeper discounts than they already receive through drugmakers’ existing sites.
On TrumpRx – the government’s direct-to-consumer platform for buying prescription drugs with cash expected to launch next year – the average monthly cost for Wegovy, Zepbound and other injectable GLP-1s will start at $350 and drop to $250 within the next two years, according to senior administration officials.
Starting doses of upcoming obesity pills from Eli Lilly and Novo Nordisk, pending approvals, will be $149 per month on TrumpRx, Medicare and Medicaid. Under the deals announced Thursday, Eli Lilly will get fast-track reviews of its forthcoming pill.
Eli Lilly on Thursday said it would lower prices by $50 on its own direct-to-consumer platform, LillyDirect, which already offers Zepbound and other drugs at a discount to cash-paying patients. The multidose pen of Zepbound will be available for $299 per month at the lowest dose, with additional doses being priced up to $449 per month.
Eli Lilly’s pill, once approved, will be available at the lowest dose starting at $149 per month
Medicaid
State Medicaid coverage of GLP-1 drugs for obesity is spotty.
But Novo Nordisk and Eli Lilly agreed to extend lower government pricing for their GLP-1 drugs – $245 per month across all other non-starting doses – to all 50 Medicaid programs for all covered uses.
States will have to opt into those prices, meaning some may not. Check with your state government about coverage.
Business
Shutdown strain: US economy reels under layoffs and lost pay; food banks, small firms struggle to cope – The Times of India
Washington’s economy is facing deepening distress as the longest-ever US government shutdown, mass layoffs of federal workers, and cuts to food assistance converge to hit households and small businesses across the capital region, AP reported.The Capital Area Food Bank, which supports more than 400 pantries and aid organisations across the District of Columbia, northern Virginia, and two Maryland counties, is preparing to provide 8 million more meals than planned this year — a nearly 20% increase.“This city has been hit especially hard because of the sequence of events that has occurred over the course of this year,” said Radha Muthiah, CEO and president of the food bank.The nation’s capital, home to roughly 150,000 federal employees, has been reeling from layoffs, the shutdown, and heightened law enforcement deployment. With the shutdown halting pay for hundreds of thousands of workers and freezing federal food aid, the economic strain has intensified.The District’s unemployment rate stood at 6% in September, one of the highest in the nation, compared with the US average of 4.3%. Economists warn that the regional impact of the shutdown will persist well after federal operations resume.Political reverberations are also being felt: Democrat Abigail Spanberger’s win in Virginia’s governor’s race was fuelled in part by her focus on the economic fallout of President Donald Trump’s policies on the region.Local businesses see sales fall, jobs vanishWashington’s restaurants, bars, and small retailers — heavily reliant on federal employees’ spending — have reported steep drops in sales. The Restaurant Association of Greater Washington said many eateries already operating on thin margins are now struggling to stay afloat as federal staff skip commutes and dining out.“Going without paychecks is causing cash flow issues for federal workers, and that’s spilling over into small businesses,” said Tracy Hadden Loh, a fellow at Brookings Metro, quoted AP. “A lot of businesses rely on higher spending in Q4 to stay profitable for the year.”At The Queen Vic, a British pub in northeast Washington, co-owner Ryan Gordon said weekend crowds have halved. “We still had seats for people, which means the bars around us who get our overflow got nothing,” he said, estimating business is down 50% since the shutdown began.Families under pressure as aid stallsThe financial strain is also pushing middle-income families into crisis. Thea Price, a former employee of the US Institute of Peace, lost her job in March, followed by her husband’s job loss as a government contractor.After relying on SNAP food assistance and savings, the couple’s payments were halted by the shutdown. With limited options left, Price is leaving Washington for her hometown near Seattle.“We can’t afford to stay in the area any longer and hope something might pan out,” she said. “We’re just in a much different place than when these things started.”At the Capital Area Food Bank, forklifts are running overtime to meet growing demand. “We’re focused on getting food to those who need it,” Muthiah said. “But people are borrowing against their futures to pay for basic necessities today.”
Business
Millionaires value their personal trainers and therapists more than their wealth advisors
Cg Tan | E+ | Getty Images
Millionaires are increasingly dissatisfied with their wealth managers and accountants, but they prize their personal trainers and therapists, according to a new survey.
Only a third of millionaires use a wealth advisor for their financial planning and 1 in 5 plan to fire their advisor due to high costs and poor service, according to a new survey from Long Angle, the professional network for startup founders and CEOs. Among those who do use an advisor, 26% are considering switching and 18% may stop using an advisor altogether.
By contrast, millionaires are highly satisfied with their personal trainers, therapists and other professionals who help with their overall wellness and family care, rather than financial issues.
“Improving your balance sheet or bank account doesn’t deliver the same emotional value as improving your health and family life,” said Chris Bendtsen, market intelligence lead at Long Angle. “Services for personal well-being or your children score the highest.”
The results highlight the growing importance of so-called “soft services” for the wealthy, as wealth managers, private banks and other firms look to attract and retain more high-net-worth clients. Once considered superficial next to financial advice and tax planning, services for health and wellness, family and kids, and travel and self-improvement are becoming core competencies in the business of advising and helping wealthy families.
For the study, Long Angle surveyed 114 people worth at least $2 million, with a majority having net worths of between $5 million and $25 million. It asked them to rank their satisfaction levels on 14 of the most common professional services used by the wealthy, from investment advice and estate planning to sports coaching and housekeeping.
Personal services, child care and education ranked at the top for satisfaction. Out of a score of 1 to 10, millionaires surveyed gave their personal trainers an average score of 9.3, the highest satisfaction for any category of service. They were also happy with their investment-visa advisors (8.8), followed by their personal sports coach and therapist. They also placed high values on services for their kids, including private school (8.3) and day care (8.2).
Financial, home and property services ranked at the bottom. The results for wealth management are especially notable. The satisfaction levels for wealth advisors was 7.2, with most of the respondents saying they don’t even use an advisor. The use of financial managers increases with wealth. Among those with $5 million or less in wealth, only 22% use an advisor, compared with 44% for those with $25 million or more.
Their chief complaint is cost. The median spending for financial advisors is $10,000 a year, according to the survey. A majority of respondents pay a fee based on a percentage of assets under management. A third of respondents pay a flat annual fee.
Many clients increasingly see asset-based fees as inherently lopsided, since the manager gets paid more simply as a function of asset size rather than performance or service quality. The frustration over costs is one reason more advisors are moving to flat fees.
“Flat fee structures reflect a growing client preference for transparent pricing and reduced conflicts of interest,” the report said.
Beyond cost, wealthy investors are also frustrated with service.
“The general feedback is that advisors are often slow to respond and the advice is not personalized,” Bendtsen said.
Accountants and tax lawyers didn’t fare much better. While 82% of respondents use a CPA or tax professional for their taxes, 42% are considering switching tax advisors. Their main complaints were that CPAs were slow to respond and weren’t proactive or strategic enough.
On estate planning, half of millionaires surveyed don’t use an estate lawyer, although their use is highly dependent on wealth levels. Among those with $25 million or more, 69% use an estate lawyer. When it comes to satisfaction levels, estate attorneys ranked below pool services.
The poor grades for financial and legal providers, and high marks for more personal services, go beyond the predictable emotional benefits of feeling and looking better every day. Athletic trainers, sports coaches, teachers and even housecleaners seem to be better at providing the kind of highly customized, goals-driven help that the wealthy are looking for, rather than cookie-cutter solutions commonly provided by wealth managers and lawyers.
“What we heard is that the wealth managers, estate lawyers and CPAs feel more transactional,” Bendtsen said. “They don’t feel personalized.”
Services for children also get high marks and a high share of the wealthy’s spending. The respondents spend an average of $53,558 a year on their nanny, $30,000 a year on private school and $20,000 a year on day care. Private school and day care both scored above an eight on satisfaction despite the price.
Therapy is becoming increasingly important to the wealthy, especially the younger rich. Millionaires gave their therapists an average high score of 8.3. Their median spending on therapy is $5,000 a year.
Nearly half (43%) of millionaires under the age of 40 use a therapist, compared to only 13% for millionaires over 50. Among those who use a therapist, the main benefits cited were quality of care and impact, as well as kindness and having a personal connection.
“I think people under 40 are more proactive about their mental health and emotional well being,” Bendtsen said.
Business
Investor alert: Sebi flags digital gold risks; should you trust unregulated platforms? – The Times of India
Markets regulator Sebi has warned investors against putting money into digital or e-gold products, cautioning that such instruments fall outside its regulatory framework and carry significant risks, PTI reported.The advisory follows Sebi’s observation that several online platforms have been promoting “digital gold” or “e-gold” as a convenient alternative to physical gold, without disclosing that these are unregulated products.“In this context, it is informed that such digital gold products are different from Sebi-regulated gold products as they are neither notified as securities nor regulated as commodity derivatives. They operate entirely outside the purview of Sebi,” the regulator said in a statement.Sebi warned that these offerings “may entail significant risks for investors and may expose investors to counterparty and operational risks.” It also clarified that investor protection mechanisms applicable to regulated securities do not extend to such unregulated schemes.The regulator advised that investors seeking exposure to gold should use Sebi-regulated instruments, including Gold Exchange Traded Funds (ETFs) offered by mutual funds, exchange-traded commodity derivatives, and Electronic Gold Receipts (EGRs) that are tradable on recognised stock exchanges.“All investments in Sebi-regulated gold products must be made through registered intermediaries and are governed by the regulatory framework prescribed by the regulator,” Sebi said.The advisory is aimed at protecting retail investors from unregulated entities that offer gold-backed digital investment options without sufficient safeguards, leaving investors vulnerable to fraud or default.
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