Every state, side by side
Medicaid’s weight-loss answer (January 2026, KFF), the partner programs that ship there on a state list we could verify and the cheapest of them all in per month, and what Medicaid paid for in 2025 (CMS). Pick a state for its own page.
| State | Medicaid, weight loss | Ship there | Cheapest that ships there | Medicaid GLP-1 Rx, 2025 | Weight-loss brands |
|---|---|---|---|---|---|
| Alabama | Not covered | 14 | $69/moSnagRx | 71,772 | 2.0% |
| Alaska | Not covered | 15 | $69/moSnagRx | 23,225 | 5.6% |
| Arizona | Not covered | 17 | $69/moSnagRx | 93,519 | 0.9% |
| Arkansas | Not covered | 13 | $69/moSnagRx | 24,039 | 0.8% |
| California | Not covered | 15 | $69/moSnagRx | 3.09 million | 55% |
| Colorado | Not covered | 17 | $69/moSnagRx | 123,001 | 12% |
| Connecticut | Not covered | 17 | $69/moSnagRx | 174,430 | 3.1% |
| Delaware | Covered | 17 | $69/moSnagRx | 55,674 | 57% |
| Washington, DC | Not covered | 0 | none verified | 27,754 | 1.9% |
| Florida | Not covered | 17 | $69/moSnagRx | 133,402 | 0.9% |
| Georgia | Not covered | 16 | $69/moSnagRx | 59,336 | 2.6% |
| Hawaii | Not covered | 16 | $69/moSnagRx | 30,455 | 0.8% |
| Idaho | Not covered | 17 | $69/moSnagRx | 45,954 | 5.0% |
| Illinois | Not covered | 17 | $69/moSnagRx | 288,470 | 1.1% |
| Indiana | Not covered | 17 | $69/moSnagRx | 190,013 | 4.6% |
| Iowa | Not covered | 17 | $69/moSnagRx | 88,518 | 6.9% |
| Kansas | Covered | 17 | $69/moSnagRx | 50,850 | 65% |
| Kentucky | Not covered | 16 | $69/moSnagRx | 274,170 | 1.2% |
| Louisiana | Not covered | 11 | $99/moTrimi | 230,117 | 0.9% |
| Maine | Not covered | 17 | $69/moSnagRx | 41,655 | 4.2% |
| Maryland | Not covered | 17 | $69/moSnagRx | 148,487 | 2.1% |
| Massachusetts | Covered | 17 | $69/moSnagRx | 399,014 | 54% |
| Michigan | Covered | 16 | $69/moSnagRx | 607,982 | 59% |
| Minnesota | Covered | 17 | $69/moSnagRx | 230,594 | 54% |
| Mississippi | Covered | 13 | $69/moSnagRx | 61,646 | 52% |
| Missouri | Covered | 16 | $69/moSnagRx | 285,105 | 44% |
| Montana | Not covered | 17 | $69/moSnagRx | 22,719 | 0.8% |
| Nebraska | Not covered | 17 | $69/moSnagRx | 37,324 | 1.3% |
| Nevada | Not covered | 17 | $69/moSnagRx | 70,791 | 1.8% |
| New Hampshire | Not covered | 17 | $69/moSnagRx | 34,652 | 57% |
| New Jersey | Not covered | 17 | $69/moSnagRx | 165,515 | 6.2% |
| New Mexico | Not covered | 17 | $69/moSnagRx | 64,832 | 0.2% |
| New York | Not covered | 17 | $69/moSnagRx | 815,882 | 0.0% |
| North Carolina | Covered | 17 | $69/moSnagRx | 484,401 | 47% |
| North Dakota | Not covered | 14 | $69/moSnagRx | 5,852 | 0.0% |
| Ohio | Not covered | 17 | $69/moSnagRx | 425,143 | 2.5% |
| Oklahoma | Not covered | 17 | $69/moSnagRx | 82,353 | 0.8% |
| Oregon | Not covered | 17 | $69/moSnagRx | 72,779 | 6.3% |
| Pennsylvania | Not covered | 17 | $69/moSnagRx | 843,743 | 54% |
| Rhode Island | Covered | 17 | $69/moSnagRx | 46,691 | 27% |
| South Carolina | Not covered | 15 | $69/moSnagRx | 65,093 | 17% |
| South Dakota | Not covered | 16 | $69/moSnagRx | 15,521 | 0.0% |
| Tennessee | Covered | 16 | $69/moSnagRx | 135,961 | 30% |
| Texas | Not covered | 17 | $69/moSnagRx | 172,203 | 2.9% |
| Utah | Covered | 17 | $69/moSnagRx | 27,850 | 0.5% |
| Vermont | Not covered | 17 | $69/moSnagRx | 17,163 | 7.0% |
| Virginia | Covered | 17 | $69/moSnagRx | 227,472 | 20% |
| Washington | Not covered | 17 | $69/moSnagRx | 111,160 | 3.1% |
| West Virginia | Not covered | 16 | $69/moSnagRx | 94,999 | 0.3% |
| Wisconsin | Covered | 17 | $69/moSnagRx | 302,633 | 59% |
| Wyoming | Not covered | 16 | $69/moSnagRx | 2,315 | 6.0% |
Program links pay us a commission. The order is the all-in monthly price, never what anyone pays us. How we earn.
Does Medicaid coverage change what gets prescribed?
In the 13 states KFF lists as covering GLP-1s for weight loss, the brands approved for weight management (Wegovy, Zepbound and Saxenda) were a median 52% of Medicaid's GLP-1 prescriptions in 2025. In the other 38, 2.3%.
Where weight loss is not covered, Medicaid’s GLP-1s are diabetes drugs: Ozempic, Trulicity and Mounjaro. The 2025 prescriptions predate the January 2026 snapshot, so states that ended coverage late in 2025 still show high shares. Prescription counts are CMS State Drug Utilization Data, updated Jul 13, 2026; rows under 11 prescriptions are suppressed.
Questions
Which states' Medicaid covers GLP-1s for weight loss?
13 as of January 2026, according to KFF: Delaware, Kansas, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, North Carolina, Rhode Island, Tennessee, Utah, Virginia and Wisconsin. KFF counts coverage under fee-for-service, and Utah reported its funding was limited to fiscal year 2026.
Which states stopped Medicaid coverage of GLP-1s for weight loss?
KFF reports that California, New Hampshire, Pennsylvania and South Carolina ended coverage of GLP-1s for obesity between October 2025 and January 2026. North Carolina dropped coverage in October 2025 and reinstated it in December 2025.
Does Medicaid cover GLP-1s for diabetes in every state?
Yes. Coverage for weight loss is optional for each state, but Medicaid must cover GLP-1s approved for type 2 diabetes, and the required uses also include Wegovy for heart risk and Zepbound for sleep apnea (KFF). Prior authorization is typical.
Has my state joined the BALANCE model?
We could not find a published list of participating state Medicaid programs. States could join on a rolling basis from May 1, 2026 through January 1, 2027, with a July 31, 2026 application deadline (KFF). Ask your Medicaid plan.
How are the programs on each state page ranked?
By the all-in monthly price, membership fees included, cheapest first; on a tie, the shorter plan, then the name. Only programs whose own state list includes that state are ranked there. Never by what a program pays us.
Sources
“13 state Medicaid programs covering GLP-1s for obesity treatment under FFS as of January 2026”
KFF, published Jan 16, 2026 · read Oct 8, 2026
2State Drug Utilization Data 2025, CMS State Drug Utilization Data, data.medicaid.gov
https://data.medicaid.gov/dataset/158a1baa-5506-400a-8ec3-97756f0b0536 · updated by CMS Jul 13, 2026
Who ships where comes from each program’s own site, re-read weekly; the same data powers the state finder. Each state page quotes its own row of KFF’s map.