Texas Medicaid GLP-1 Coverage: Wegovy, Zepbound
Not for weight loss. Texas Medicaid covers GLP-1s only for type 2 diabetes and other approved uses. Texas 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
Does Texas Medicaid cover GLP-1s?
- Other weight-loss drugs: Coverage goes only to weight-loss drugs that are not GLP-1s
- Right now, 41 Medicaid programs (counting DC), Texas among them, do not cover GLP-1s for weight loss; 10 programs cover it.
- In January 2026, GLP-1s were covered for weight loss by 13 state Medicaid programs across the US.
One drug at a time: Wegovy, Zepbound, Ozempic, Mounjaro
| Medicine | Main use | In Texas 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: In state Medicaid programs, GLP-1s often need it
- For diabetes, records include your diagnosis and recent A1C. Your measured BMI and weight-related conditions, for weight loss where covered.
- Your prescriber sends the request to the Medicaid plan you are covered by.
Source: KFF.
How to check your plan
- Search the state’s list for the drug: Drugs in Texas Medicaid.
- If your Medicaid is run by a managed care plan, call the member number on your card. Ask whether the drug needs prior authorization.
- Preferred drugs are approved sooner, so ask your prescriber which GLP-1 option is preferred.
- The approval or denial notice states the rule that applies to you, so keep it.
Brand pages that apply within Texas
- 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
Suppose Texas Medicaid says no, what then?
- Ask the state for a fair hearing if your plan denies a drug you meet the rules for.
- You cannot use manufacturer savings cards with Medicaid, because their terms exclude government plans.
Sources: foundayo.lilly.com, TrumpRx, NovoCare, CMS.