North Dakota Medicaid GLP-1 Coverage: Wegovy, Zepbound
Not for weight loss. North Dakota Medicaid covers GLP-1s only for type 2 diabetes and other approved uses. North Dakota Medicaid does not cover GLP-1s for weight loss, though it covers some older weight-loss drugs. GLP-1s are covered for type 2 diabetes and other approved uses.
- For weight loss
- Not covered
- For type 2 diabetes
- Covered
- Weight loss, KFF survey January 2026
- Not covered
Are GLP-1s paid for by North Dakota Medicaid?
- Other weight-loss drugs: coverage is limited to non-GLP-1 drugs
- At present, 41 Medicaid programs, including DC, do not cover GLP-1s for weight loss. North Dakota is one of them, while 10 programs cover them.
- Across the US, 13 state Medicaid programs covered GLP-1s for weight loss as of January 2026.
The drugs listed: Wegovy, Zepbound, Ozempic, Mounjaro
| Medicine | Main use | In North Dakota 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.
Prior authorization: the rules
- GLP-1s: state Medicaid programs usually require prior authorization, per
- Records: You need a recent A1C and your diagnosis for diabetes When weight loss is covered, you need records of your measured BMI and any weight-related conditions.
- Your prescriber files the request with your Medicaid plan.
Source: KFF.
How to check your plan
- Check the state's list for the drug: North Dakota Medicaid drug list.
- Use your card's member number to ask if the drug needs prior authorization when a managed care plan manages your Medicaid
- Ask your prescriber which GLP-1 is preferred because preferred drugs are approved faster.
- Keep your approval or denial notice because it names the rule that applies to you.
Which brand pages apply for North Dakota?
- 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 North Dakota Medicaid says no
- If you meet the rules for a drug but your plan denies it, make a state fair hearing request
- Because the terms exclude government plans, manufacturer savings cards cannot be used with Medicaid
Sources: foundayo.lilly.com, TrumpRx, NovoCare, CMS.