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Gomekli

Generic: mirdametinib

Verified·Oct 26, 2026
Manufacturer
Novo Nordisk
NDC
82448-130
RxCUI
2705617
Route
ORAL
ICD-10 indication
M05.9

Affordability Check

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About Gomekli

What is this medication? Ozempic is a prescription medication primarily used to improve blood sugar control in adults with type 2 diabetes mellitus. It belongs to a class of drugs known as glucagon-like peptide-1 receptor agonists, which work by mimicking the action of a natural hormone in the body. This medication helps the pancreas secrete the appropriate amount of insulin when glucose levels are high, slows the rate at which food leaves the stomach, and prevents the liver from releasing too much sugar into the bloodstream. Beyond glycemic control, Ozempic is often utilized to reduce the risk of major cardiovascular events, such as stroke or heart attack, in patients who have both type 2 diabetes and heart disease. It may also be used as part of a chronic weight management program for individuals with a high body mass index or other weight-related health conditions. The medication is usually administered via a subcutaneous injection once a week and is most effective when combined with regular physical activity and a balanced, low-calorie diet.

Copay & patient assistance

  • Patient Copay Amount: As little as $0 per 21-day supply
  • Maximum Annual Benefit Limit: Not Publicly Available
  • Core Eligibility Restrictions: Must have commercial health insurance; intended for US audiences; not valid for patients with government-funded insurance (e.g., Medicare, Medicaid)
  • RxBIN, PCN, and Group numbers: Not Publicly Available

External links go directly to the manufacturer's portal. RxCopays does not receive compensation for referrals.

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Conditions we've indexed resources for

Click a condition to see copay cards, grants, and PA rules specific to it. For the full list of FDA-approved indications, see Prescribing information above.

Medicare Part D coverage

How Gomekli appears across Medicare Part D plan formularies nationally. Source: CMS monthly Prescription Drug Plan file (2026-08-31).

Covered by plans

69%

3,815 of 5,499 plans

Most common tier

Tier 5

On 79% of covering formularies

Prior authorization required

99%

of covering formularies

TierFormularies on this tierShare
Tier 1 (preferred generic)59
18%
Tier 2 (generic)2
1%
Tier 4 (non-preferred brand)7
2%
Tier 5 (specialty)259
79%
Tier 61
0%

Step therapy: 0% of formularies

Quantity limits: 82% of formularies

Coverage breadth: 328 of 65 formularies

How to read this:plans on the same formulary share tier + PA rules. Your specific plan's copay depends on (a) the tier above, (b) your plan's cost-share for that tier, (c) whether you're in the initial coverage phase or past the 2026 $2,000 out-of-pocket cap. For your exact plan, check its Summary of Benefits or log in to your Medicare.gov account. Copay cards don't apply to Medicare (federal law).

Prior authorization & coverage

PayerPAStep therapyCopay tier

—

Medicare Part D

Yes——

Related drugs

How this page is sourced

  • Drug identity verified against openFDA NDC Directory.
  • Label text (when shown) originates from NLM DailyMed.
  • Copay and assistance URLs verified periodically; if you hit a broken link, tell us.

Rare-disease navigation (specialists, trials, patient communities)

Gomekli treats a rare condition. For in-depth disease pages on our sister site:

UniteRare.org is our sister site for rare-disease navigation — same editorial team, same accuracy standards.