Hawaii Medicaid GLP-1 Coverage: Wegovy, Zepbound

Does Hawaii Medicaid cover GLP-1s?

• Hawaii is among the 41 Medicaid programs, counting DC, where GLP-1s for weight loss are not covered at present. Only 10 cover them.
• It was reported in January 2026 that GLP-1s for weight loss were covered by 13 state Medicaid programs across the US.

Sources: KFF 1 2.

For each drug: Mounjaro, Ozempic, Wegovy, Zepbound

GLP-1 drugs in Hawaii Medicaid

Medicine	Main use	In Hawaii 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.

What prior authorization rules apply

• Prior authorization: State Medicaid programs commonly use it for GLP-1s, according to
• Records: We need a recent A1C result and your diagnosis for diabetes. When weight loss coverage applies, your records include a measured BMI and weight-related conditions.
• Your prescriber submits it to your Medicaid plan.

Source: KFF.

How to check your plan

1. Look up the drug on the state's list: Hawaii Medicaid drug list
2. If a managed care plan runs your Medicaid, call the member number shown on your card.
3. Preferred GLP-1 drugs get approval faster, so ask your prescriber which one is preferred.
4. Keep the approval or denial notice you receive. It shows the rule that applies to you.

For Hawaii, which brand pages are relevant?

• 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 Hawaii Medicaid says no

• If your plan denies a drug even though you meet its rules, request a state fair hearing.
• The terms exclude government plans, so manufacturer savings cards cannot be used with Medicaid:

If coverage says no

Medicine	Lowest self-pay	Manufacturer offer if your plan does not cover it
Wegovy	$149 a month	Not listed
Zepbound	$299 a month	$299 a month
Foundayo	$149 a month	Not listed

Sources: foundayo.lilly.com, TrumpRx, NovoCare, CMS.