Metabolic Ledger

Medicaid GLP-1 Coverage by State

Whether a state’s Medicaid program covers GLP-1 medications (Wegovy, Zepbound) specifically for obesity — not just for diabetes — varies enormously by state. This map tracks it.

Covers GLP-1s for obesity
10
Covers with restrictions
3
Does not cover
38
Unconfirmed
0
Alabama: Does not coverALAlaska: Does not coverAKArizona: Does not coverAZArkansas: Does not coverARCalifornia: Does not coverCAColorado: Does not coverCOConnecticut: Does not coverDelaware: Covers GLP-1s for obesityDistrict of Columbia: Does not coverFlorida: Does not coverFLGeorgia: Does not coverGAHawaii: Does not coverHIIdaho: Does not coverIDIllinois: Does not coverILIndiana: Does not coverINIowa: Does not coverIAKansas: Covers with restrictionsKSKentucky: Does not coverKYLouisiana: Does not coverLAMaine: Does not coverMEMaryland: Does not coverMassachusetts: Covers with restrictionsMichigan: Covers with restrictionsMIMinnesota: Covers GLP-1s for obesityMNMississippi: Covers GLP-1s for obesityMSMissouri: Covers GLP-1s for obesityMOMontana: Does not coverMTNebraska: Does not coverNENevada: Does not coverNVNew Hampshire: Does not coverNew Jersey: Does not coverNew Mexico: Does not coverNMNew York: Does not coverNYNorth Carolina: Covers GLP-1s for obesityNCNorth Dakota: Does not coverNDOhio: Does not coverOHOklahoma: Does not coverOKOregon: Does not coverORPennsylvania: Does not coverPARhode Island: Covers GLP-1s for obesitySouth Carolina: Does not coverSCSouth Dakota: Does not coverSDTennessee: Covers GLP-1s for obesityTNTexas: Does not coverTXUtah: Covers GLP-1s for obesityUTVermont: Does not coverVirginia: Covers GLP-1s for obesityVAWashington: Does not coverWAWest Virginia: Does not coverWVWisconsin: Covers GLP-1s for obesityWIWyoming: Does not coverWY
Covers GLP-1s for obesity Covers with restrictions Does not cover Unconfirmed

Albers USA projection (Alaska and Hawaii shown as insets, lower-left). Hover any state for its status; the smallest north-eastern states are easiest to read in the table below.

By state

StateCoverageNotesLast verifiedSource
AlabamaDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
AlaskaDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
ArizonaDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
ArkansasDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
CaliforniaDoes not coverEliminated adult obesity coverage 2026-01-01.June 2026link
ColoradoDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
ConnecticutDoes not coverCovers non-GLP-1 weight-loss drugs only.June 2026link
DelawareCovers GLP-1s for obesityCovers GLP-1s for obesity under Medicaid (fee-for-service).June 2026link
District of ColumbiaDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
FloridaDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
GeorgiaDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
HawaiiDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
IdahoDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
IllinoisDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
IndianaDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
IowaDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
KansasCovers with restrictionsCovered via severe-obesity and cardiovascular-risk pathways; prior authorization required.June 2026link
KentuckyDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
LouisianaDoes not coverCovers orlistat only; not GLP-1s for obesity.June 2026link
MaineDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
MarylandDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
MassachusettsCovers with restrictionsCovered (BMI >=30, or >=27 with a comorbidity); MassHealth scheduled to end weight-loss GLP-1 coverage 2026-07-01.June 2026link
MichiganCovers with restrictionsCovered for morbid obesity only, after failed prior interventions (from 2026-01-01); prior authorization required.June 2026link
MinnesotaCovers GLP-1s for obesityCovers GLP-1s for obesity under Medicaid (fee-for-service).June 2026link
MississippiCovers GLP-1s for obesityCovers GLP-1s for obesity under Medicaid (fee-for-service).June 2026link
MissouriCovers GLP-1s for obesityCovers GLP-1s for obesity under Medicaid (fee-for-service).June 2026link
MontanaDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
NebraskaDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
NevadaDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
New HampshireDoes not coverEliminated weight-loss-only coverage 2026-01-01.June 2026link
New JerseyDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
New MexicoDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
New YorkDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
North CarolinaCovers GLP-1s for obesityCovers; reinstated 2025-12-12 after a brief Oct 2025 lapse.June 2026link
North DakotaDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
OhioDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
OklahomaDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
OregonDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
PennsylvaniaDoes not coverEliminated adult obesity coverage 2026-01-01 (under-21 EPSDT retained).June 2026link
Rhode IslandCovers GLP-1s for obesityCovers GLP-1s for obesity under Medicaid (fee-for-service).June 2026link
South CarolinaDoes not coverEliminated Wegovy/Saxenda for obesity 2026-01-01.June 2026link
South DakotaDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
TennesseeCovers GLP-1s for obesityCovers GLP-1s for obesity under Medicaid (fee-for-service).June 2026link
TexasDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
UtahCovers GLP-1s for obesityCovers GLP-1s for obesity under Medicaid (fee-for-service).June 2026link
VermontDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
VirginiaCovers GLP-1s for obesityCovers GLP-1s for obesity under Medicaid (fee-for-service).June 2026link
WashingtonDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
West VirginiaDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link
WisconsinCovers GLP-1s for obesityCovers GLP-1s for obesity under Medicaid (fee-for-service).June 2026link
WyomingDoes not coverNo Medicaid coverage for an obesity indication (diabetes coverage may differ).June 2026link

How we classify coverage

  • Covers — the state Medicaid program reimburses GLP-1s for an obesity (weight-management) indication.
  • Covers with restrictions — covered, but gated by prior authorisation, BMI thresholds, step therapy, or a pilot/limited basis.
  • Does not cover — no obesity-indication coverage (diabetes coverage may still exist; this map is specifically about obesity).
  • Unconfirmed— we haven’t yet verified the state’s current policy from a primary source.

Each state is verified against KFF and the state’s own Medicaid formulary/policy, and re-checked quarterly. This is general information, not coverage advice for an individual plan.

Use the data

Once verified, the dataset is free to cite, embed, and download under CC BY 4.0. See cite, embed, or download.