Missouri Medicaid GLP-1 Coverage: Wegovy, Zepbound

Does Missouri Medicaid cover GLP-1s?

• The group of 10 states that cover GLP-1s for weight loss now includes Missouri.
• Across the US: 13 state Medicaid programs covered GLP-1s for weight loss in January 2026.

KFF and dss.mo.gov are the sources.

One by one: Wegovy, Zepbound, Ozempic, Mounjaro

GLP-1 drugs in Missouri Medicaid

Medicine	Main use	In Missouri Medicaid	Every state
Wegovy	Weight loss	Covered with prior authorization	Wegovy and Medicaid
Zepbound	Weight loss	Covered with prior authorization	Zepbound and Medicaid
Foundayo	Weight loss	Covered with prior authorization	Not listed
Saxenda	Weight loss	Covered with prior authorization	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: dss.mo.gov.

Rules that apply to prior authorization

• Needed: prior authorization
• For diabetes, records needed are your diagnosis and recent A1C. For covered weight loss, the records list your measured BMI plus weight-related conditions.
• Who files it: Your prescriber submits the request to your Medicaid plan.

Source: dss.mo.gov.

Check your plan

1. Check the Missouri Medicaid drug list for the drug.
2. If your Medicaid is run by a managed care plan, use the member number on your card to call. Then ask if the drug needs prior authorization.
3. Ask your prescriber which GLP-1 is preferred, because preferred drugs are approved faster.
4. Keep your approval or denial notice, because it lists the rule that applies to you.

Which brand pages apply in Missouri

• 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 Missouri Medicaid says no

• If you meet the rules but your plan denies the drug, request a state fair hearing.
• Manufacturer savings cards are not allowed with Medicaid, since their terms exclude government plans.

If coverage says no

Medicine	Lowest self-pay	If your plan does not cover it, what the manufacturer offers
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.