Maine Medicaid GLP-1 Coverage: Wegovy, Zepbound

Does Maine Medicaid cover GLP-1s?

• GLP-1s for weight loss are not covered by 41 Medicaid programs today, and Maine is among them. DC is part of that total. 10 programs do cover the drug.
• In January 2026, GLP-1s used for weight loss were covered in 13 state Medicaid programs in the US.

Sources: KFF 1 2.

Each medication: Mounjaro, Wegovy, Zepbound, Ozempic

GLP-1 drugs in Maine Medicaid

Medicine	Main use	In Maine 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 that apply to prior authorization

• State Medicaid programs generally require prior authorization for GLP-1s, finds
• Records: For diabetes, include a recent A1C and your diagnosis. For covered weight loss, include your BMI measurement and weight-related conditions.
• Your Medicaid plan receives the request from your prescriber.

Source: KFF.

Checking your plan

1. Look for the drug in the state's list: Maine Medicaid list of drugs.
2. If a managed care plan handles your Medicaid, use the member number printed on your card to call. Ask whether the drug requires prior authorization.
3. Ask your prescriber about the preferred GLP-1, since these drugs are approved faster.
4. Keep the approval or denial notice because it states the rule that applies to your case.

Which brand pages apply in Maine

• 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 coverage is denied by Maine Medicaid

• If your plan refuses a drug and you meet the rules, request a state fair hearing.
• Their terms exclude government plans, which means manufacturer savings cards cannot be used with Medicaid. has the details.

If coverage says no

Medicine	Lowest self-pay	The manufacturer's offer applies 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.