Does Medicaid cover Wegovy?
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State Medicaid coverage of Wegovy varies dramatically. Approximately 13 states cover Wegovy under specific clinical criteria (often higher BMI thresholds than commercial). Check your state's Medicaid formulary.
Typical requirements
- State-specific — often BMI ≥35, documented comorbidity, and prior weight-management program
Where to get Wegovy
Telehealth services that handle Wegovy, useful while prior auth processes or as a cash-pay alternative. We may earn a commission. See disclosure.
Ro
from $145/mo- Best for insured patients
- Best for clinical oversight
Ro Body — branded GLP-1 weight care program
Hims
from $199/mo- Best for cash-pay
- Best for speed
Hims Weight Loss — compounded GLP-1 from $199/mo
Noom Med
from $179/mo- Best for coaching
- Best for maintenance
Noom Med — GLP-1 + behavioral psychology coaching
Medicaid not the right plan?
Coverage varies dramatically between carriers and even between plans at the same carrier. Compare GLP-1 coverage across 10 major US insurers, or run the insurance pre-check to estimate your specific plan's odds.
More Medicaid coverage
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Frequently asked
Does Medicaid cover Wegovy?+
State Medicaid coverage of Wegovy varies dramatically. Approximately 13 states cover Wegovy under specific clinical criteria (often higher BMI thresholds than commercial). Check your state's Medicaid formulary.
Does Medicaid require prior authorization for Wegovy?+
Yes. Medicaid requires prior authorization before dispensing Wegovy. Your prescriber submits the request with documentation of medical necessity (BMI, comorbidities, prior therapy). Turnaround is typically 1-4 weeks.