South Dakota Medicaid GLP-1 Coverage: Wegovy, Zepbound
Not for weight loss. South Dakota Medicaid covers GLP-1s only for type 2 diabetes and other approved uses. South Dakota 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
Are GLP-1s paid for by South Dakota Medicaid?
- South Dakota is now one of the 41 Medicaid programs (counting DC) that do not cover GLP-1s for weight loss; 10 programs do.
- Reports show that GLP-1s for weight loss were covered by state Medicaid programs across the US in January 2026, 13 programs in all.
Drugs listed: Wegovy, Zepbound, Ozempic, Mounjaro
| Medicine | Main use | In South 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.
Rules on prior authorization
- Prior authorization: common in state Medicaid programs for GLP-1s
- For diabetes, the required records are your diagnosis and recent A1C. For weight loss, you need your measured BMI and weight-related conditions where coverage applies.
- Requests go to your Medicaid plan from your prescriber.
Source: KFF.
How to check your plan
- For the drug, check the state's list: South Dakota Medicaid drug list.
- With a managed care plan managing your Medicaid, use your card's member number to ask whether the drug needs prior authorization.
- Find out from your prescriber which GLP-1 is preferred, because preferred drugs are approved faster.
- An approval or denial notice names your applicable rule, so keep it.
Which brand pages are for South 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 South Dakota Medicaid says no to coverage
- Ask the state for a fair hearing if your plan rejects a drug for which you meet the rules.
- Government plans fall outside the terms for manufacturer savings cards, so you cannot use them with Medicaid.
Sources: foundayo.lilly.com, TrumpRx, NovoCare, CMS.