Does TennCare Cover Ozempic, Wegovy, Zepbound? PA Rules
Yes for type 2 diabetes: Tennessee Medicaid covers Ozempic, with prior authorization. It also covers GLP-1s for weight loss, with limits. TennCare covers GLP-1 weight management drugs with prior authorization; initial approvals moved to 3 months in January 2026.
- For weight loss
- Covered with prior authorization
- For type 2 diabetes
- Covered
- Weight loss, KFF survey January 2026
- Covered
Prior authorization: it is Required, source:
Does Tennessee Medicaid cover GLP-1s?
- Tennessee is one of 10 states that cover GLP-1s for weight loss now.
- Across the US: 13 state Medicaid programs covered GLP-1s for weight loss in January 2026.
The source is contenthub-aem.optumrx.com and KFF.
Each drug listed one by one: Wegovy, Zepbound, Ozempic, Mounjaro
| Medicine | Main use | In Tennessee 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: contenthub-aem.optumrx.com.
Prior authorization rules
- Prior authorization: it is Required, source:
- For diabetes, the records are your diagnosis along with recent A1C. For weight loss, where that is covered, you need your BMI as measured plus any weight-related conditions.
- Your prescriber sends the request to the Medicaid plan that covers you.
The source is contenthub-aem.optumrx.com.
Steps for checking your plan
- Look for the drug on the state's list: Tennessee Medicaid drug list.
- If a managed care plan runs your Medicaid, call the member number on your card.
- Find out from your prescriber which GLP-1 is preferred. This is because drugs with preferred status are approved faster.
- Save the notice of approval or denial, because it shows the rule covering your case.
Brand pages for Tennessee
- 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 Tennessee Medicaid turns down coverage
- Ask for a state fair hearing when your plan denies a drug you meet the rules for.
- Manufacturer savings cards cannot be used with Medicaid.
Sources: foundayo.lilly.com, TrumpRx, NovoCare, CMS.