Utah Medicaid GLP-1 Coverage: Wegovy, Zepbound
Not for weight loss. Utah Medicaid covers GLP-1s only for type 2 diabetes and other approved uses. Utah covered GLP-1s for weight loss in a one-year pilot that ended June 30, 2026. Medicaid still covers them for heart risk, MASH and severe sleep apnea with prior authorization.
- For weight loss
- Pilot ended June 2026
- For type 2 diabetes
- Covered
- Prior authorization
- Required
- Weight loss, KFF survey January 2026
- Covered
Does Utah Medicaid cover GLP-1s?
- Last change: June 30, 2026
- Right now, 41 Medicaid programs (counting DC) do not cover GLP-1s for weight loss, and Utah is one of them; 10 programs do cover them.
- In January 2026, it was reported that 13 state Medicaid programs across the US covered GLP-1s to help with weight loss.
Sources: medicaid-documents.dhhs.utah.gov, KFF.
By medicine: Wegovy, Zepbound, Ozempic, Mounjaro
| Medicine | Main use | In Utah Medicaid | Every state |
|---|---|---|---|
 Wegovy | Weight loss | Pilot ended June 2026 | Wegovy and Medicaid |
 Zepbound | Weight loss | Pilot ended June 2026 | Zepbound and Medicaid |
 Foundayo | Weight loss | Pilot ended June 2026 | Not listed |
 Saxenda | Weight loss | Pilot ended June 2026 | 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: medicaid-documents.dhhs.utah.gov.
Rules for getting prior authorization
- Other approved uses: Other FDA-approved uses remain covered as stated by
- Your diagnosis and a recent A1C are both part of the records for diabetes. When weight loss is covered, the file includes your measured BMI and weight-related conditions.
- Filing: Your prescriber sends the request to the Medicaid plan you have.
Source: medicaid-documents.dhhs.utah.gov.
How to check your plan
- Look for the medicine on the state's drug list: Utah Medicaid drug list.
- If your Medicaid is run by a managed care plan, use your card's member number to ask whether the drug requires prior authorization.
- Which GLP-1 is preferred? Ask your prescriber, because drugs that are preferred are approved more quickly.
- Keep the approval or denial notice, because it shows the rule that applies in your case.
Which brand pages apply in Utah?
- 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 Utah Medicaid turns down coverage
- If you meet the rules for a drug and your plan denies it, request a state fair hearing.
- Manufacturer savings cards cannot be used with Medicaid.
Sources: foundayo.lilly.com, TrumpRx, NovoCare, CMS.