Oregon Medicaid GLP-1 Coverage: Wegovy, Zepbound

Does Oregon Medicaid cover GLP-1s?

• Oregon now lacks GLP-1s coverage for weight loss. It is one of 41 Medicaid programs (counting DC), while 10 programs offer this coverage.
• In January 2026, 13 state Medicaid programs in the US were found to cover GLP-1s for weight loss.

Sources: KFF 1 2.

A drug-by-drug look at Wegovy, Zepbound, Ozempic, Mounjaro

GLP-1 drugs in Oregon Medicaid

Medicine	Main use	In Oregon 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 rules

• Prior authorization for GLP-1s is common in state Medicaid programs
• Your diabetes records include your diagnosis and a recent A1C result. Your weight-related conditions and measured BMI are included for covered weight loss.
• The request is sent to your Medicaid plan by your prescriber.

Source: KFF.

How to check your plan

1. Look for your drug on the Oregon Medicaid list.
2. If your Medicaid is handled by a managed care plan, call the member number on your card to learn whether the drug requires prior authorization.
3. Have your prescriber tell you which GLP-1 is preferred. Drugs that have preferred status are approved faster.
4. The approval or denial notice shows which rule applies to you, so save it.

Which brand pages apply in Oregon?

• 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 Oregon Medicaid gives a no answer

• If you meet the rules for a drug but your plan denies it, ask for a state fair hearing.
• You cannot use manufacturer savings cards with Medicaid because government plans are left out of their terms.

If coverage says no

Medicine	Lowest self-pay	Offer from the manufacturer 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.