Delaware Medicaid GLP-1 Coverage: Wegovy, Zepbound
Yes. Delaware Medicaid covers GLP-1s for weight loss. Delaware Medicaid lists Foundayo, Wegovy and Zepbound as preferred obesity drugs; every drug in the class needs prior authorization.
- For weight loss
- Covered with prior authorization
- For type 2 diabetes
- Covered
- Weight loss, KFF survey January 2026
- Covered
Prior authorization: Required, as noted by
Does Delaware Medicaid cover GLP-1s?
- Delaware's current status: it is among the 10 states covering GLP-1s for weight loss.
- GLP-1s for weight loss were covered by 13 state Medicaid programs across the US, as reported in January 2026.
Sources: medicaidpublications.dhss.delaware.gov, KFF.
A medicine-by-medicine look at Wegovy, Zepbound, Ozempic, Mounjaro
| Medicine | Main use | In Delaware Medicaid | Every state |
|---|---|---|---|
 Wegovy | Weight loss | Preferred; covered with prior authorization | Wegovy and Medicaid |
 Zepbound | Weight loss | Preferred; covered with prior authorization | Zepbound and Medicaid |
 Foundayo | Weight loss | Preferred; covered with prior authorization | Not listed |
 Saxenda | Weight loss | The drug is covered with prior authorization, but the preferred list excludes it | Saxenda and Medicaid |
 Ozempic | Type 2 diabetes | Covered for type 2 diabetes, preferred | Ozempic and Medicaid |
 Mounjaro | Type 2 diabetes | Covered for type 2 diabetes, preferred | Mounjaro and Medicaid |
 Rybelsus | Type 2 diabetes | This drug is covered for type 2 diabetes, but it is not on the preferred list | Rybelsus and Medicaid |
 Trulicity | Type 2 diabetes | Covered for type 2 diabetes, preferred | Trulicity and Medicaid |
 Victoza | Type 2 diabetes | This drug is covered for type 2 diabetes, but it is not on the preferred list | Victoza and Medicaid |
You can find the preferred drug list at medicaidpublications.dhss.delaware.gov.
Rules for getting prior authorization
- Prior authorization: Required, as noted by
- You need records of your diagnosis and recent A1C for diabetes Where weight loss is covered, records include your weight-related conditions and measured BMI.
- Your prescriber files it by sending the request to your Medicaid plan.
How to check your plan
- Look for the drug on the state's list: Delaware Medicaid drug list.
- Call the member number listed on your card to ask if prior authorization is required for the drug. This applies when a managed care plan runs your Medicaid.
- Ask your prescriber about the preferred GLP-1, because preferred drugs are approved faster.
- Save the notice showing whether you were approved or denied. It identifies which rule applies to you.
Which brand pages apply to Delaware?
- Does Medicaid Cover Wegovy? Criteria, Copay, How to Appeal
- Does Medicaid Cover Zepbound? State-by-State Coverage
- Does Medicaid Cover Saxenda? Criteria, Copay, How to Appeal
- Does Medicaid Cover Ozempic? Criteria, Copay, How to Appeal
- Does Medicaid Cover Mounjaro? State-by-State Rules and PA
- Does Medicaid Cover Rybelsus? Criteria, Copay, How to Appeal
- Does Medicaid Cover Trulicity? Criteria, Copay, How to Appeal
- Does Medicaid Cover Victoza? Criteria, Copay, How to Appeal
- Does Medicaid Cover GLP-1? Criteria, Copay, How to Appeal
- Medicare GLP-1 Coverage
- Is GLP-1 Covered by Insurance? Criteria, Copay, Appeal
If Delaware Medicaid says no
- If your plan denies a drug and you meet its rules, ask for a state fair hearing.
- Manufacturer savings cards cannot be used with Medicaid.
Sources: foundayo.lilly.com, TrumpRx, NovoCare, CMS.