Wisconsin Medicaid GLP-1 Coverage: Wegovy, Zepbound
Yes. Wisconsin Medicaid covers GLP-1s for weight loss. Wisconsin added a weight management drug class on July 1, 2026, with Foundayo and Zepbound preferred. Approval needs prior authorization and a BMI of 30 or more, among other options.
- For weight loss
- Covered with prior authorization
- For type 2 diabetes
- Covered
- Prior authorization
- Required
- Weight loss, KFF survey January 2026
- Covered
Does Wisconsin Medicaid cover GLP-1s?
- Last change: July 1, 2026
- Wisconsin is now one of the 10 states that cover GLP-1s for weight loss.
- GLP-1s for weight loss were covered by 13 state Medicaid programs across the US, as reported in January 2026.
For sources, see forwardhealth.wi.gov and KFF.
Each drug, one by one: Wegovy, Zepbound, Ozempic, Mounjaro
| Medicine | Main use | In Wisconsin Medicaid | Every state |
|---|---|---|---|
 Wegovy | Weight loss | Not on the preferred list; it is covered if you have prior authorization | Wegovy and Medicaid |
 Zepbound | Weight loss | Preferred; covered with prior authorization | Zepbound and Medicaid |
 Foundayo | Weight loss | Preferred; covered with prior authorization | Not listed |
 Saxenda | Weight loss | Not on the preferred list; it is covered if you have 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 |
For the preferred drug list, see forwardhealth.wi.gov.
Rules that apply to prior authorization
- The weight rule is BMI 30 or higher
- The records contain your diagnosis and a recent A1C for diabetes. For covered weight loss, the records contain your measured BMI and weight-related conditions.
- The request goes from your prescriber to your Medicaid plan.
Source: forwardhealth.wi.gov.
Your plan: what to check
- To check the drug, use Wisconsin Medicaid's state list: drug list.
- If a managed care plan manages your Medicaid, ask about prior authorization for the drug using the member number on your card.
- Ask your prescriber which GLP-1 drug has preferred status, since preferred drugs are approved faster.
- Keep the notice showing approval or denial, since it names the rule that applies to you.
Which brand pages apply in Wisconsin
- 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
What happens if Wisconsin Medicaid says no?
- If your plan turns down the drug even though you meet the rules, request a state fair hearing.
- Manufacturer savings cards cannot be used with Medicaid. Their terms exclude government plans.
Sources: foundayo.lilly.com, TrumpRx, NovoCare, CMS.