Maryland Medicaid GLP-1 Coverage: Wegovy, Zepbound
Not for weight loss. Maryland Medicaid covers GLP-1s only for type 2 diabetes and other approved uses. Maryland 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 Maryland Medicaid cover GLP-1s?
- At present, 41 Medicaid programs (counting DC) exclude GLP-1s for weight loss, including Maryland; 10 programs include them.
- Across the US: 13 state Medicaid programs covered GLP-1s for weight loss in January 2026.
Wegovy, Zepbound, Mounjaro, and Ozempic, drug by drug
| Medicine | Main use | In Maryland 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 typically require prior authorization for GLP-1s
- For diabetes, records include your recent A1C and diagnosis. For weight loss where covered, records include your measured BMI and weight-related conditions.
- Your prescriber is the one who sends the request to your Medicaid plan.
Source: KFF.
How to check your plan
- Check the state's drug list for the medication: Maryland Medicaid drug list.
- If a managed care plan runs your Medicaid, call the member number on your card and ask whether prior authorization is needed.
- Ask your prescriber which GLP-1 is preferred, since preferred drugs are approved faster.
- The approval or denial notice shows the rule that applies to you, so keep it.
Which brand pages apply in Maryland?
- 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 Maryland Medicaid answers no
- If you meet the rules for a drug but your plan denies it, request a state fair hearing.
- Manufacturer savings cards cannot be used with Medicaid, because their terms exclude government plans.
Sources: foundayo.lilly.com, TrumpRx, NovoCare, CMS.