Vermont Medicaid GLP-1 Coverage: Wegovy, Zepbound
Not for weight loss. Vermont Medicaid covers GLP-1s only for type 2 diabetes and other approved uses. Vermont 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
Does Vermont Medicaid cover GLP-1s?
- Right now, weight loss GLP-1s have no coverage from 41 Medicaid programs, DC among them. Vermont is on that list, and 10 programs do cover them.
- For weight loss, 13 state Medicaid programs across the US were found to cover GLP-1s in January 2026.
Wegovy, Zepbound, Ozempic, Mounjaro: each drug
| Medicine | Main use | In Vermont 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 for getting prior authorization
- Medicaid programs in states commonly require prior authorization for GLP-1s
- For diabetes, you need records of your diagnosis and recent A1C. For weight loss when covered, you need your measured BMI and weight-related conditions.
- Your Medicaid plan receives the request submitted by your prescriber.
Source: KFF.
How to check your plan
- Look for the drug on the Vermont Medicaid drug list.
- If your Medicaid is handled by a managed care plan, call the member number listed on your card. Ask if prior authorization is required for that drug.
- Find out from your prescriber which GLP-1 is the preferred one, because preferred drugs are approved faster.
- Keep the approval or denial notice, which shows the rule that affects you.
Applicable brand pages for Vermont
- 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 Vermont Medicaid says no
- If your plan denies a drug even though you meet the rules, ask for a state fair hearing.
- You cannot use manufacturer savings cards with Medicaid because the card terms exclude government plans.
Sources: foundayo.lilly.com, TrumpRx, NovoCare, CMS.