Coverage options beyond Medicare
If the Bridge program isn't a fit, you may still have a path — especially through state Medicaid. Search your state below.
Medicaid coverage of GLP-1 medications for weight management varies dramatically by state. Most state Medicaid programs cover GLP-1s for type 2 diabetes, but only some cover them for obesity, and several more are actively reviewing the policy. The table below summarizes the general status by state. Use the search and filters to find yours.
GLP-1 Medicaid coverage by state
State Medicaid drug policies change frequently. The "covered" status below refers to coverage for weight management / obesity (not just diabetes). Confirm current rules with your state Medicaid office or pharmacy. Last reviewed for this build: June 2026.
51 of 51 states shown
| Drugs covered | ||||
|---|---|---|---|---|
| Alabama | Not covered | Diabetes only | — | Yes |
| Alaska | Not covered | Diabetes only | — | Yes |
| Arizona | Not covered | Diabetes only | — | Yes |
| Arkansas | Not covered | Diabetes only | — | Yes |
| California | Covered | Wegovy, Zepbound, Saxenda | $0 | Yes |
| Colorado | Pending | Under review | — | TBD |
| Connecticut | Covered | Wegovy, Saxenda | $0 | Yes |
| Delaware | Covered | Wegovy, Zepbound | $0 | Yes |
| Florida | Not covered | Diabetes only | — | Yes |
| Georgia | Not covered | Diabetes only | — | Yes |
| Hawaii | Not covered | Diabetes only | — | Yes |
| Idaho | Not covered | Diabetes only | — | Yes |
| Illinois | Covered | Wegovy, Zepbound | $0 | Yes |
| Indiana | Not covered | Diabetes only | — | Yes |
| Iowa | Not covered | Diabetes only | — | Yes |
| Kansas | Covered | Wegovy, Saxenda | $0 | Yes |
| Kentucky | Not covered | Diabetes only | — | Yes |
| Louisiana | Not covered | Diabetes only | — | Yes |
| Maine | Not covered | Diabetes only | — | Yes |
| Maryland | Pending | Under review | — | TBD |
| Massachusetts | Covered | Wegovy, Zepbound, Saxenda | $3.65 | Yes |
| Michigan | Covered | Wegovy, Zepbound | $0 | Yes |
| Minnesota | Covered | Wegovy, Saxenda | $0 | Yes |
| Mississippi | Covered | Wegovy | $3 | Yes |
| Missouri | Not covered | Diabetes only | — | Yes |
| Montana | Not covered | Diabetes only | — | No |
| Nebraska | Not covered | Diabetes only | — | Yes |
| Nevada | Not covered | Diabetes only | — | Yes |
| New Hampshire | Covered | Wegovy, Saxenda | $1 | Yes |
| New Jersey | Pending | Under review | — | TBD |
| New Mexico | Not covered | Diabetes only | — | Yes |
| New York | Pending | Under review | — | TBD |
| North Carolina | Not covered | Diabetes only | — | Yes |
| North Dakota | Not covered | Diabetes only | — | No |
| Ohio | Not covered | Diabetes only | — | Yes |
| Oklahoma | Not covered | Diabetes only | — | Yes |
| Oregon | Pending | Under review | — | TBD |
| Pennsylvania | Covered | Wegovy, Zepbound, Saxenda | $0 | Yes |
| Rhode Island | Covered | Wegovy, Saxenda | $0 | Yes |
| South Carolina | Covered | Wegovy | $3.40 | Yes |
| South Dakota | Not covered | Diabetes only | — | No |
| Tennessee | Not covered | Diabetes only | — | Yes |
| Texas | Not covered | Diabetes only | — | Yes |
| Utah | Not covered | Diabetes only | — | Yes |
| Vermont | Not covered | Diabetes only | — | Yes |
| Virginia | Covered | Wegovy, Zepbound | $0 | Yes |
| Washington | Pending | Under review | — | TBD |
| West Virginia | Not covered | Diabetes only | — | Yes |
| Wisconsin | Covered | Wegovy, Saxenda | $0.50 | Yes |
| Wyoming | Not covered | Diabetes only | — | No |
| District of Columbia | Not covered | Diabetes only | — | Yes |
Sources: Medicaid.gov state plan drug coverage; KFF Medicaid coverage of GLP-1 surveys. Status reflects coverage for weight management specifically. Figures are illustrative — verify with your state Medicaid office.
Other ways to lower your cost
Cash & direct programs
Some manufacturers offer direct cash-pay programs for self-pay patients. These typically exclude people with government coverage like Medicare.
Patient assistance
Nonprofit and manufacturer assistance programs may help based on income. Eligibility rules vary; many exclude Medicare members.
Compounded options
Compounded semaglutide/tirzepatide has been marketed at lower prices, but availability and FDA status have shifted. Discuss risks with your doctor.
Source: FDA.gov on compounded GLP-1 products.
Have Medicare instead?
The Bridge program may be a better fit than Medicaid for many beneficiaries. Check first.
Check Bridge eligibility →