{"name":"Medicaid GLP-1 prescriptions by state, 2025","statistic":"State Medicaid programs paid for 11.26 million GLP-1 prescriptions in 2025, California the most at 3.09 million, according to CMS State Drug Utilization Data updated July 13, 2026.","figure":"11.26 million","figure_label":"Medicaid GLP-1 prescriptions, 2025","source_as_of":"2026-07-13","source_as_of_label":"CMS data updated","read":"2026-10-04","temporal_coverage":"2025-01-01/2025-12-31","page":"https://pricetrackerglp1.com/data/medicaid-glp1-prescriptions-by-state","license":"CC BY 4.0: cite PriceTracker GLP-1, pricetrackerglp1.com","license_url":"https://creativecommons.org/licenses/by/4.0/","based_on":["https://data.medicaid.gov/dataset/158a1baa-5506-400a-8ec3-97756f0b0536","https://download.medicaid.gov/data/sdud2025_updatedjuly2026.csv"],"method":{"computed":"Sum of \"Number of Prescriptions\" across all four quarters of 2025, both utilization types (fee-for-service and managed care), for every GLP-1 product NDC. The national figure is CMS's own national row (state code XX); state figures sum each state's rows.","include":["Products: Ozempic, Wegovy, Rybelsus, Mounjaro, Zepbound, Trulicity, Victoza, Saxenda, Liraglutide (generic), Byetta, Bydureon, Exenatide (generic), Adlyxin."],"exclude":["Insulin combinations: Soliqua (insulin glargine and lixisenatide); Xultophy (insulin degludec and liraglutide).","Rows CMS suppressed for privacy (under 11 prescriptions)."],"caveats":["Reimbursement is what Medicaid paid pharmacies, before the manufacturer rebates states receive; CMS does not publish net cost per drug.","CMS suppresses any row with fewer than 11 prescriptions; those rows count as zero here, so small states and small products are undercounted slightly.","Totals reflect state program size as much as use: no per-enrollee rate is published in this dataset.","State figures are as reported by the states and can be revised by CMS."]},"columns":[{"key":"rank","label":"Rank","type":"int"},{"key":"state","label":"State","type":"text"},{"key":"state_code","label":"Code","type":"text"},{"key":"prescriptions","label":"Prescriptions","type":"int"},{"key":"share_of_prescriptions_pct","label":"Share","type":"pct"},{"key":"medicaid_reimbursed_usd","label":"Medicaid paid","type":"usd"},{"key":"total_reimbursed_usd","label":"Total reimbursed","type":"usd"},{"key":"share_of_spending_pct","label":"Spending share","type":"pct"},{"key":"reimbursed_per_rx_usd","label":"Per Rx","type":"usd"},{"key":"top_product","label":"Top product","type":"text"},{"key":"suppressed_rows","label":"Suppressed 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