Outlaw Medical

11/07/2025

The White House announced agreements with Eli Lilly and Novo Nordisk that will change how patients access and afford GLP-1 medications.

Four Pathways for Patient Access:

1.TrumpRx.gov (Launching Jan 2026) This will be a government-run, direct-to-consumer cash-pay website.

- Injectables (Wegovy/Zepbound): Starting at ~$350/month, trending down to $245/month over two years.

- Oral GLP-1s (once approved): Starting doses will be priced around $150/month.

2. Medicare Coverage (Starting Mid-2026) For the first time, Medicare will cover these drugs for obesity through a CMS pilot program. This is an amazing milestone that we’ve all been waiting for.

- Patient Cost: A flat $50/month co-pay.

- Program Cost: Medicare will pay a rate of $245/month.

- Who Is Eligible? The pilot will target higher-risk beneficiaries, initially about 10% of the Medicare population. The criteria will be narrower than the FDA label, focusing on patients with:

- BMI >27 with prediabetes or established cardiovascular disease.
- BMI >30 with uncontrolled hypertension, kidney disease, or heart failure.
- BMI >35 (severe obesity).

3. Medicaid Coverage

- States will have the option to get the same low price of $245/month for GLP-1s for all covered uses.

4. LillyDirect (New Prices Available Very Soon)

- As a separate cash-pay option, Lilly has lowered its price for Zepbound to $299/month for the lowest dose (up to $449/month for higher doses). This is an immediate option for those without coverage.

- Zepbound will be available in a new multi-dose pen so perhaps this will replace the vials and make it easier for patients to administer. (Awaiting FDA approval)

Pipeline & Regulatory Updates:

Fast-Tracking Oral GLP-1s: The FDA has granted priority review vouchers to speed up the review process for oral Wegovy and Lilly’s orforglipron, shortening approval timelines.

If you are ready to start your weight loss journey you can schedule an appointment with me at OutlawMedicalDPC.com

11/05/2025

10/30/2025

10/24/2025

We are coming up on open enrollment, and patients need to know about things like this. Don’t get United or any other “advantage plan”. Stick with plain Medicare add part D for drug coverage if you need it.

Most importantly- find a physician who is direct pay, it’s almost always more affordable to have a direct primary care doctor than to pay all the copays/deductibles that insurance requires. PLUS you won’t have a nurse practitioner, PA, or doctor who work at the mercy of the insurance company.

Direct primary care docs work directly for you!

According to a report from The Guardian, UnitedHealth has allegedly been pressuring nurse practitioners to flip elderly patients’ status to “Do Not Resuscitate,” even when these patients have explicitly requested to be resuscitated.

09/09/2025

I sometimes forget what 50 pounds of weight loss is really like! I took a look at my drivers license picture from two years ago and my new tribal citizenship card from today and I thought about all the work I’ve put in exercising, increasing vegetables(which is very hard for me), cutting out pop completely, reducing alcohol, drinking mainly water, trying my best to get good sleep, and adding semaglutide. Forgetting the lack of makeup and overexposed picture on the right I see such a difference in the amount of chubbiness in my face.
I see someone who no longer has to take cholesterol medicine.
I see someone who is no longer on the verge of needing blood pressure medicine .
I see someone whose joints feel better.
I see someone who can jog and lift weights so much more easily than before.
I see someone who went from 210 pounds to 160.
I see someone who took an insane risk by quitting her old hospitalist job and starting a clinic from nothing.
I see someone who has helped so many other people on their weight-loss journey and I’m proud of all of them and her!


OutlawMedicalDPC.com

09/05/2025

We will be closed Saturday to enjoy the festivities!

08/30/2025

Already treating for strep here at the clinic along with viral infections! Encourage the kiddos to wash hands frequently and NOT to share food or drinks.

At Outlaw Medical you can get same or next day appointments without having to wait at an urgent care or ER! Kids are only $25/month with an adult membership.

OutlawMedicalDPC.com

07/21/2025

Bison meatballs with homemade marinara topped with parm and mozzarella!
Home grown tomatoes, herbs, and bison! 😋