Florida Medicaid GLP-1 Coverage: Wegovy, Zepbound
Not for weight loss. Florida Medicaid covers GLP-1s only for type 2 diabetes and other approved uses. Florida Medicaid does not cover GLP-1s for weight loss. GLP-1s are covered for type 2 diabetes and other approved uses, usually with prior authorization.
- For weight loss
- Not covered
- For type 2 diabetes
- Covered
- Weight loss, KFF survey January 2026
- Not covered
Does Florida Medicaid cover GLP-1s?
- At present, GLP-1s are not covered for weight loss by 41 Medicaid programs, counting DC. Florida is included, and 10 programs offer that coverage.
- In January 2026, 13 Medicaid programs in US states covered GLP-1s for weight loss, the source reports.
The drugs: Wegovy, Zepbound, Ozempic, Mounjaro
| Medicine | Main use | In Florida Medicaid | Every state |
|---|---|---|---|
 Wegovy | Weight loss | Not covered | Wegovy and Medicaid |
 Zepbound | Weight loss | Not covered | Zepbound and Medicaid |
 Foundayo | Weight loss | Not covered | Not listed |
 Saxenda | Weight loss | Not covered | Saxenda and Medicaid |
 Ozempic | Type 2 diabetes | Covered for type 2 diabetes | Ozempic and Medicaid |
 Mounjaro | Type 2 diabetes | Covered for type 2 diabetes | Mounjaro and Medicaid |
 Rybelsus | Type 2 diabetes | Covered for type 2 diabetes | Rybelsus and Medicaid |
 Trulicity | Type 2 diabetes | Covered for type 2 diabetes | Trulicity and Medicaid |
 Victoza | Type 2 diabetes | Covered for type 2 diabetes | Victoza and Medicaid |
Sources: KFF.
Rules on prior authorization
- Prior authorization: Common for GLP-1s in state Medicaid programs
- Records: Your recent A1C and diagnosis for diabetes. Where weight loss is covered, records include your weight-related conditions and measured BMI.
- Your prescriber submits it by sending the request to your Medicaid plan.
The source is KFF.
How to check your plan
- Review the state drug list: Florida Medicaid drug list.
- Does a managed care plan run your Medicaid? If so, call the member number listed on your card and ask if prior authorization is required for the drug.
- Ask your prescriber which GLP-1 your plan prefers. Preferred drugs are approved faster.
- Keep the approval or denial notice, since it lists the rule that applies to you.
Which brand pages apply in Florida?
- 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 Florida Medicaid says no
- If your plan turns down a drug even though you meet the rules, ask for a state fair hearing.
- The terms for manufacturer savings cards exclude government plans, so you cannot use those cards with Medicaid.
Sources: foundayo.lilly.com, TrumpRx, NovoCare, CMS.