GLP-1 coverage by state
Whether Medicaid pays for a GLP-1 depends heavily on your state — and, for weight loss specifically, only about 11–13 states cover it in 2026, a number that's been shrinking. GLP-1s for type 2 diabetes are covered almost everywhere. Wherever you live, compounded GLP-1 by telehealth is a cash route available nationwide.
| State | Medicaid for weight loss | |
|---|---|---|
| Alabama | Not covered for weight loss | Alabama details |
| Alaska | Not covered for weight loss | Alaska details |
| Arizona | Not covered for weight loss | Arizona details |
| Arkansas | Not covered for weight loss | Arkansas details |
| California | Recently dropped | California details |
| Colorado | Not covered for weight loss | Colorado details |
| Connecticut | Not covered for weight loss | Connecticut details |
| Delaware | Covered (with criteria) | Delaware details |
| District of Columbia | Not covered for weight loss | District of Columbia details |
| Florida | Not covered for weight loss | Florida details |
| Georgia | Not covered for weight loss | Georgia details |
| Hawaii | Not covered for weight loss | Hawaii details |
| Idaho | Not covered for weight loss | Idaho details |
| Illinois | Not covered for weight loss | Illinois details |
| Indiana | Not covered for weight loss | Indiana details |
| Iowa | Not covered for weight loss | Iowa details |
| Kansas | Covered (with criteria) | Kansas details |
| Kentucky | Not covered for weight loss | Kentucky details |
| Louisiana | Not covered for weight loss | Louisiana details |
| Maine | Not covered for weight loss | Maine details |
| Maryland | Not covered for weight loss | Maryland details |
| Massachusetts | Recently dropped | Massachusetts details |
| Michigan | Covered but narrowed | Michigan details |
| Minnesota | Covered (with criteria) | Minnesota details |
| Mississippi | Covered (with criteria) | Mississippi details |
| Missouri | Covered (with criteria) | Missouri details |
| Montana | Not covered for weight loss | Montana details |
| Nebraska | Not covered for weight loss | Nebraska details |
| Nevada | Not covered for weight loss | Nevada details |
| New Hampshire | Recently dropped | New Hampshire details |
| New Jersey | Not covered for weight loss | New Jersey details |
| New Mexico | Covered (with criteria) | New Mexico details |
| New York | Not covered for weight loss | New York details |
| North Carolina | Covered (with criteria) | North Carolina details |
| North Dakota | Not covered for weight loss | North Dakota details |
| Ohio | Not covered for weight loss | Ohio details |
| Oklahoma | Not covered for weight loss | Oklahoma details |
| Oregon | Not covered for weight loss | Oregon details |
| Pennsylvania | Recently dropped | Pennsylvania details |
| Rhode Island | Covered (with criteria) | Rhode Island details |
| South Carolina | Recently dropped | South Carolina details |
| South Dakota | Not covered for weight loss | South Dakota details |
| Tennessee | Covered (with criteria) | Tennessee details |
| Texas | Not covered for weight loss | Texas details |
| Utah | Recently dropped | Utah details |
| Vermont | Not covered for weight loss | Vermont details |
| Virginia | Covered but narrowed | Virginia details |
| Washington | Not covered for weight loss | Washington details |
| West Virginia | Not covered for weight loss | West Virginia details |
| Wisconsin | Covered (with criteria) | Wisconsin details |
| Wyoming | Not covered for weight loss | Wyoming details |
Medicaid coverage for weight-loss GLP-1s changes frequently and is set by each state. Statuses reflect our last review of KFF and Stateline reporting; always confirm with your state Medicaid program. Coverage for type 2 diabetes is separate and much more widely available. On Medicare, see our Medicare GLP-1 coverage guide.
Sources & references
Clinical figures on this page trace to peer-reviewed trials and official regulators. We link the primary record so you can verify it yourself.
- 1.KFF. Medicaid Coverage of and Spending on GLP-1s.Policy analysisKFF (Kaiser Family Foundation)
- 2.Stateline. States retreat from covering drugs for weight loss (2025).Policy analysisStateline