State guide · ND · prices checked Oct 8, 2026

GLP-1 in North Dakota: prices and Medicaid coverage

As of Oct 8, 2026, the cheapest GLP-1 program that ships to North Dakota is SnagRx at $69 a month, month to month, all in; 14 of the 21 partner programs we track ship there. North Dakota Medicaid did not cover GLP-1s for weight loss as of January 2026, according to KFF, though it must cover them for type 2 diabetes.

Julian CaraulaniFounder, PriceTracker GLP-1Prices verified October 2026

Cheapest that ships to North Dakota

$69/mo

at SnagRx, month to month, all in.

North Dakota Medicaid, weight loss

Not covered for weight loss

As of January 2026, per KFF. Diabetes: covered in every state.

$69/mo at SnagRx on SnagRx’s site ↗See all 14 that ship to North Dakota

On this page

Programs that ship to North Dakota
Does North Dakota Medicaid cover it?
North Dakota Medicaid in numbers
Medicare in every state
Neighbouring states
Common questions
Sources

Which GLP-1 programs ship to North Dakota?

14 of the 21 partner programs we track ship to North Dakota, from $69 a month, month to month at SnagRx to $299 at Willow, all in.

Cheapest first by what leaves your account each month, membership fees included, then the shorter plan. Each is a telehealth program: a clinician licensed in North Dakota reviews you online and a pharmacy mails the medication. Prices checked Oct 8, 2026.

Show all 14

Doesn’t ship to North Dakota · Sprout Health, Enhance MD, MangoRx: each names North Dakota as a state it does not serve.

State list not verified · These say how many states they serve but not which, so we cannot say whether they ship here: bmiMD (48 states), DudeMeds (46 states), TMates (45 states), SkinnyRx (48 states).

Program links pay us a commission. The order is the all-in monthly price, never what anyone pays us. How we earn.

Cheapest GLP-1 nationally Cheapest semaglutide Cheapest tirzepatide Compare every state

Does North Dakota Medicaid cover GLP-1s for weight loss?

Not covered for weight loss

North Dakota Medicaid did not cover GLP-1s for weight loss as of January 2026, according to KFF, though it must cover them for type 2 diabetes.

North Dakota Medicaid covers one or more older weight-loss drugs, but no GLP-1.

Weight loss

Not covered, January 2026

Type 2 diabetes

Required in every state

Heart risk, sleep apnea

Required (Wegovy, Zepbound)

Prior authorization

Typical when covered

Federal law lets each state decide whether Medicaid pays for drugs used for weight loss, while drugs approved for diabetes must be covered. KFF counts coverage under fee-for-service; if your North Dakota Medicaid coverage comes through a managed care plan, its formulary can differ, so ask the plan before you fill.

What may have changed since January

CMS’s BALANCE model lets state Medicaid programs add GLP-1s for weight management at a negotiated price. States could join on a rolling basis from May 1, 2026 through January 1, 2027, and the state application deadline was July 31, 2026. We could not find a published list of the states that joined, so this page does not say whether North Dakota Medicaid did. Ask your plan. Either way your cost stays at Medicaid’s nominal copay, which BALANCE does not change.

The national picture, coupons and patient assistance: does Medicaid cover GLP-1s.

How many GLP-1s does North Dakota Medicaid pay for?

5,852 GLP-1 prescriptions in 2025, 50th of the 50 states and DC, with $3.6 million reimbursed before rebates.

Prescriptions, 2025

5,852

50th of 51

Medicaid paid

$3.6M

50th of 51, before rebates

Per prescription

$614

$1,051 nationally

Weight-loss brands

0.0%

51st highest share of 51

Wegovy, Zepbound and Saxenda, the brands approved for weight management, were 0.0% of North Dakota Medicaid's GLP-1 prescriptions in 2025 (0). Across the 13 states KFF lists as covering GLP-1s for obesity, the median share was 52%; across the other 38, 2.3%. Where weight loss is not covered, those brands are mostly filled for the uses Medicaid must cover, such as heart risk and sleep apnea.

North Dakota Medicaid GLP-1 prescriptions by brand, 2025
Brand	Prescriptions	Share	Medicaid paid
Liraglutide (generic)	2,815	48%	$1.1 million
Ozempic	1,616	28%	$1.6 million
Victoza	1,343	23%	$882,757
Mounjaro	67	1.1%	$70,880
Rybelsus	11	0.2%	$10,763
Wegovyapproved for weight management	0	0.0%	$0

Source: CMS State Drug Utilization Data 2025, updated Jul 13, 2026, all four quarters, fee-for-service and managed care. Before rebates. CMS suppresses rows under 11 prescriptions, so small brands are undercounted slightly. Every state ranked: prescriptions and spending.

On Medicare in North Dakota?

Medicare’s temporary GLP-1 Bridge works the same in every state: a $50 copay for a one-month supply of Wegovy, Foundayo or the Zepbound KwikPen, for people with Part D who meet its weight and health rules.

medicare.gov, read Oct 3, 2026: “You’ll pay a $50 copayment to the pharmacy for a one-month supply (either 28 or 30 days, depending on drug).”

Check the Bridge rules Does Medicare cover GLP-1s?

North Dakota and the states around it

Medicaid’s weight-loss answer (January 2026, KFF) and the partner programs that ship there, priced the same way as above.

State	Medicaid, weight loss	Ship there	Cheapest that ships there
North Dakota	Not covered	14	$69/mo
Minnesota	Covered	17	$69/moSnagRx
Montana	Not covered	17	$69/moSnagRx
South Dakota	Not covered	16	$69/moSnagRx

All 50 states and DC

GLP-1s in North Dakota: common questions

Does North Dakota Medicaid cover Wegovy or Zepbound for weight loss?

Not as of January 2026: KFF found North Dakota Medicaid did not cover GLP-1s for obesity under fee-for-service. North Dakota Medicaid covers one or more older weight-loss drugs, but no GLP-1. Coverage for weight loss is optional for each state, so it can change; ask your plan, and see whether North Dakota has joined the BALANCE model.

Does North Dakota Medicaid cover Ozempic or Mounjaro for diabetes?

Yes. Weight-loss coverage is optional for states, but Medicaid must cover GLP-1s approved for type 2 diabetes, so Ozempic, Mounjaro and the others are covered for blood sugar in North Dakota as in every state, usually behind prior authorization. Wegovy for heart risk and Zepbound for sleep apnea are required uses too (KFF).

Has North Dakota Medicaid joined the BALANCE model?

We could not find a published list of the state Medicaid programs taking part, so we cannot say. BALANCE is a voluntary CMS model: states could join on a rolling basis from May 1, 2026 through January 1, 2027, and the state application deadline was July 31, 2026 (KFF). It does not change what you pay, because federal law already limits Medicaid out-of-pocket costs to nominal amounts. Ask North Dakota Medicaid whether it joined.

What is the cheapest GLP-1 program that ships to North Dakota?

SnagRx, at $69 a month, month to month all in (membership included), checked Oct 8, 2026. Then Embody at $69 on a 12-month plan, and CoreAge Rx at $99, month to month. These are telehealth programs: a clinician licensed in North Dakota reviews you online and a pharmacy mails the medication.

How many GLP-1 telehealth programs ship to North Dakota?

14 of the 21 partner programs we track ship to North Dakota on a state list we could verify. 3 name North Dakota as a state they do not serve: Sprout Health, Enhance MD, MangoRx. 4 publish a state count without the list, so we cannot say: bmiMD, DudeMeds, TMates, SkinnyRx.

How many GLP-1 prescriptions did North Dakota Medicaid pay for in 2025?

5,852, 50th of the 50 states and DC, with $3.6 million reimbursed before rebates (CMS State Drug Utilization Data). Wegovy, Zepbound and Saxenda, the brands approved for weight management, were 0.0% of those prescriptions.

Can I get a GLP-1 for $50 a month on Medicare in North Dakota?

If you have Medicare Part D and meet the rules, yes. Medicare's temporary GLP-1 Bridge is the same in every state: medicare.gov says "This temporary program is available nationwide (including all states and U.S. territories) to certain people with Medicare drug coverage (Part D)" and "You’ll pay a $50 copayment to the pharmacy for a one-month supply (either 28 or 30 days, depending on drug)." (read Oct 3, 2026).

Sources

Program prices are read off each seller’s own page weekly; the last check behind this page was Oct 8, 2026. The Medicaid answer is KFF’s, quoted below with the day we read it, and is re-read monthly. The prescription figures are CMS’s.

KFF state map, the North Dakota row

“North Dakota,ND*,Not covered”

https://datawrapper.dwcdn.net/GL0OB/8/dataset.csv · read Oct 8, 2026

KFF, published Jan 16, 2026

“13 state Medicaid programs covering GLP-1s for obesity treatment under FFS as of January 2026”