New Hampshire Medicaid GLP-1 Coverage: Wegovy, Zepbound

Does New Hampshire Medicaid cover GLP-1s?

• Other weight-loss drugs: Coverage includes only non-GLP-1 weight-loss drugs
• Counting DC, 41 Medicaid programs do not cover weight loss with GLP-1s now, and New Hampshire is one of them; 10 programs do cover them.
• GLP-1s for weight loss were covered by some state Medicaid programs across the US. In January 2026, 13 state Medicaid programs provided coverage, based on the source.

Sources: KFF 1 2.

Drug by drug: Wegovy, Zepbound, Ozempic, and Mounjaro

GLP-1 drugs in New Hampshire Medicaid

Medicine	Main use	In New Hampshire Medicaid	Every state
Wegovy	Weight loss	Ended January 2026	Wegovy and Medicaid
Zepbound	Weight loss	Ended January 2026	Zepbound and Medicaid
Foundayo	Weight loss	Ended January 2026	Not listed
Saxenda	Weight loss	Ended January 2026	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 for getting prior authorization

• GLP-1s usually need prior authorization in state Medicaid programs
• For diabetes, the records include your recent A1C and your diagnosis. Your weight-related conditions and measured BMI, for weight loss where covered.
• The request goes from your prescriber to your Medicaid plan.

Source: KFF.

How to check your plan

1. Look up the drug on the state's list: New Hampshire Medicaid drug list.
2. When a managed care plan runs Medicaid, call the member number on your card and ask whether prior authorization is required for the drug.
3. Find out from your prescriber which GLP-1 is the preferred one. Preferred drugs are approved faster.
4. Save the approval or denial notice. It shows the rule that applies in your case.

Which brand pages apply in New Hampshire?

• 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 New Hampshire Medicaid says no

• Request a state fair hearing after your plan denies a drug, if you meet the rules for it.
• Manufacturer savings card terms exclude government plans, so you cannot use those cards with Medicaid:

If coverage says no

Medicine	Lowest self-pay	Offer from the manufacturer if your plan does not cover the drug
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.