How to Tell GLP-1 Patients About Program and Pricing Changes by Text

Moving patients from compounded to brand-name medication, or to a cash-pay program, means telling every patient. Here is how to say it clearly without turning it into a drug offer.

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The short answer

Tell existing patients about a GLP-1 program or pricing change in a Secure text with link, written as information about their care. Say what is changing, when, what it means for them and how to ask questions. Do not add a coupon, a "switch now and save" push or a price on a named drug. That turns the notice into a drug promotion, which carrier rules forbid in any message type. A secure link protects patient details. It does not make a drug offer allowed. For Medicare patients, the Medicare GLP-1 Bridge runs from July 1, 2026 to December 31, 2027, and check-in texts can support the lifestyle work its prior authorization asks about.

Why so many GLP-1 programs are changing

Compounded GLP-1s grew during the drug shortages. Those shortages are over. FDA determined the tirzepatide injection shortage was resolved on December 19, 2024, and said on February 21, 2025 that "the shortage of semaglutide injection products ... is resolved." FDA's enforcement discretion periods for compounders have since ended. See FDA's compounding policy update.

FDA also reminds patients and clinicians that "compounded drugs are not FDA approved," and it has warned telehealth companies for marketing unapproved drugs. See FDA's concerns with unapproved GLP-1 drugs. Many clinics are moving patients to brand-name medication, a cash-pay program or both. Every affected patient needs to hear about it.

Where clinics get this message wrong

Some clinics send the news as a phone tree or a portal message nobody opens. Patients miss it and call the front desk when a charge changes. Others send it as a marketing blast with a price and a drug name in the first line.

The blast is the bigger risk. Carrier rules forbid promoting prescription drugs, even from a licensed provider, and Twilio says a campaign rejected for prescription drug marketing "is not eligible for resubmission." See carrier-safe GLP-1 clinic text marketing for rewritten examples.

Information or offer: where the line sits

A notice that a patient's program fee changes next month is information about their care. A text that says "Lock in brand-name semaglutide at $X, today only" is an offer on a drug. The facts can be the same. The framing decides which one it is.

CTIA says "Adding a call-to-action (e.g., a coupon code to an informational text) may place the message in the promotional category." Twilio describes a hedged exception for refill reminders from a licensed pharmacy to existing patients. No carrier source we found says a price notice from a clinic counts as transactional. Treat it as information, and keep offers out of it. See the CTIA Messaging Principles.

How to write a program change notice

Lead with what is changing and when. Then say what it means for this patient, what they need to do, if anything, and how to reach the care team. Keep the tone of a letter from the clinic, not an ad.

Send it as a Secure text with link. It can contain PHI, so it can name the patient's own program, fee or next visit. Leave out discounts, deadlines meant to drive a purchase and comparisons with other sellers. If a patient replies with a question, your team answers it in a private conversation.

Need to reach patients who have not opened the secure message? A short Insecure follow-up can ask them to call the clinic. Keep it generic. An Insecure text is a regular SMS and can't contain PHI, so it names no drug, program or condition.

Medicare GLP-1 Bridge: check-in texts that support lifestyle work

The Medicare GLP-1 Bridge is a short-term CMS demonstration that runs "between July 1, 2026, and December 31, 2027." CMS says eligible GLP-1s are furnished under the Bridge "with the $50 co-pay, when prescribed for a weight management indication." See CMS information for providers.

To use it, the provider submits a prior authorization request that attests the patient meets the clinical criteria. One of those criteria is that the drug is prescribed "in combination with current and ongoing lifestyle modification including structured nutrition and physical activity." The prescriber makes that attestation, based on the patient's care.

Regular check-in texts help patients keep up the nutrition and activity work, and help your team hear about it between visits. Record what patients report in the chart the way you record any patient contact. A text does not replace the prescriber's judgment, the attestation or the prior authorization itself.

Telling Medicare patients the Bridge exists is information. Keep it about coverage and the visit. Do not name a drug with its $50 price as a pitch.

How to send it in BloomText

Open Broadcast in the web app sidebar and follow the three steps: Details, Recipients, Message. Keep the default message type, Secure text with link, for any notice with patient-specific details. See the broadcast overview and how to create a campaign.

Export the affected patients from your EHR as a CSV of up to 20,000 rows, then map the columns. Any column can become a variable, such as {{effective_date}} or {{program_fee}}. Each variable can have a fallback, like {{first_name | there}}. Rows are matched to existing patients by MRN, then phone, then email, and existing records are not changed. See adding recipients and personalizing messages.

Schedule the notice for a weekday morning in your patients' time zone and set the time between messages, so replies reach your team at a pace they can answer. You can pause and resume. Numbers on your org's opt-out list aren't texted. See sending and tracking.

Broadcasts need the Patient SMS Add-on and membership in a team with an assigned phone number. BloomText verifies new accounts before their first broadcast.

Sample GLP-1 patient communication texts

These are notices to existing patients about their own care, not promotions. None of them offers or discounts a drug. Insecure samples name no drug, program or condition.

  • Medication source change

    Secure text with link: can contain PHI

    Hi {{first_name | there}}, this is an update from Riverside Family Clinic about your weight management program. Starting {{effective_date | next month}}, we will no longer prescribe compounded medication. At your next visit, {{provider | your provider}} will review the FDA-approved options with you and decide together what fits your care. You do not need to do anything today. Questions? Reply here or call (555) 010-0142.

    States the change and the next step. It does not price or push a specific drug.

  • Cash-pay program fee change

    Secure text with link: can contain PHI

    Hi {{first_name | there}}, starting {{effective_date | next month}}, your weight management program at Riverside Family Clinic becomes a cash-pay program. Your monthly program fee will be {{program_fee | shown on your next statement}}. This covers your visits and care team check-ins. Medication costs are separate and depend on your pharmacy and coverage. Questions? Reply here or call (555) 010-0142.
  • Generic follow-up for unopened notices

    Insecure text: can't contain PHI

    Hi {{first_name | there}}, Riverside Family Clinic sent you an update about your care. Please call us at (555) 010-0142 if you have questions. Reply STOP to opt out.

    No drug, program or condition named. It only points back to the clinic.

  • Medicare coverage update

    Secure text with link: can contain PHI

    Hi {{first_name | there}}, Medicare has a temporary program, from July 1, 2026 to December 31, 2027, that changes what some Part D patients pay for certain weight management prescriptions. Whether it applies to you depends on your health history and your provider's review. If you would like to talk it through, book a visit at (555) 010-0142.

    Information about coverage. It promotes the visit, not a drug.

  • Lifestyle check-in

    Secure text with link: can contain PHI

    Hi {{first_name | there}}, checking in from Riverside Family Clinic. How are your meals and activity going this week? Reply with a quick update, or anything that is getting in the way, and your care team will follow up.

    Supports ongoing nutrition and activity work. The prescriber still makes any attestation.

  • Plan review visit

    Insecure text: can't contain PHI

    Hi {{first_name | there}}, it is time to book your next visit at Riverside Family Clinic. Call (555) 010-0142 or reply to pick a time. Reply STOP to opt out.

Send secure program updates with the Patient SMS Add-on

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Frequently Asked Questions

Can I text patients that we are switching from compounded semaglutide?
Yes, as information. Send it as a Secure text with link that says what is changing, when, and how the care team will review options at the next visit. Do not attach a price or discount to a named drug.
Is a pricing change notice a promotional text?
It does not have to be. A notice about a patient's own program fee is information about their care. Adding a coupon, a deadline to buy or a "save now" line can make it promotional, and promoting a prescription drug is forbidden in any message type.
Does a Secure text with link make drug pricing safe to send?
No. A Secure text with link can contain PHI, so it is the right place for patient-specific details. It does not change carrier rules. Carriers judge the business and linked pages too, so a drug offer behind a link is still a drug offer.
What is the Medicare GLP-1 Bridge?
A short-term CMS demonstration that runs from July 1, 2026 to December 31, 2027. CMS says eligible GLP-1s prescribed for a weight management indication are furnished with a $50 co-pay. The provider submits a prior authorization that attests the patient meets the criteria, including ongoing lifestyle modification.
Do check-in texts count as the lifestyle attestation for the Bridge?
No. The prescriber makes the attestation. Check-in texts can help patients keep up nutrition and activity work and help your team hear about it between visits. Record what patients report in the chart as you would any patient contact.
Who can send broadcasts in BloomText?
Broadcasts need the Patient SMS Add-on and membership in a team with an assigned phone number. BloomText verifies new accounts before their first broadcast. The signed BAA is included on every plan, including the free plan.

Sources

Last verified October 15, 2026.

  1. FDA: FDA clarifies policies for compounders as national GLP-1 supply begins to stabilize
  2. FDA: Concerns with unapproved GLP-1 drugs used for weight loss
  3. CMS: Medicare GLP-1 Bridge, information for providers
  4. CTIA: Messaging Principles and Best Practices (May 2023)
  5. Twilio: Error 30941, campaign rejected for prescription drug content
  6. Twilio: Forbidden message categories for SMS and MMS in the US and Canada