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Written by Kim Callender, NP, FNP-BC·Reviewed by Jonathan Snipes, MD·Published July 12, 2026·Last reviewed July 12, 2026·Prices verified July 12, 2026·Methodology v1.0

GLP-1 coverage and availability by state: all 50 states and DC

Whether your state Medicaid covers GLP-1s for obesity, which telehealth providers serve you, and where the state-specific surcharges are. Coverage collapsed in 2026 — four states eliminated it outright.

Direct answer

What we evaluated: Medicaid GLP-1 coverage for obesity and telehealth provider availability across all 50 states and DC
Date verified: January 2026 (KFF); state actions through April 2026
Direct answer: Only 13 state Medicaid programmes still cover GLP-1s for obesity, down from 16 in October 2025. California, New Hampshire, Pennsylvania and South Carolina eliminated coverage on 1 January 2026. North Carolina removed it in October 2025 and reinstated it in December. Michigan and Virginia restricted eligibility to morbid obesity. Massachusetts and Rhode Island have proposed removal
Necessary qualification: coverage for type 2 diabetes is a separate question and is available in every state. It is coverage for obesity — an optional state benefit — that is being cut. Anyone under 21 retains protection under federal EPSDT law regardless of what a state does for adults
Method: every figure is a total ongoing monthly cost (medication + any required membership), derived by plan total ÷ plan months. See our pricing-verification methodology.

The 2026 coverage collapse

State Medicaid coverage of GLP-1s for obesity — the collapse
0491317October 2025 — states covering16January 2026 — states covering13Eliminated coverage 1 Jan 20264Restricted to morbid obesity2Removal formally proposed2

Source: KFF, January 2026; Stateline, April 2026. Coverage for type 2 diabetes is separate and is available in every state — the collapse is specifically in obesity coverage, which states are permitted to exclude and therefore cut first when budgets tighten.

Medicaid coverage of GLP-1s for obesity is an optional state benefit. Coverage of GLP-1s for type 2 diabetes is effectively mandatory and near-universal — every state Medicaid programme covers at least one diabetes-indicated GLP-1. Those are two different questions, and they get conflated constantly.

Because weight-loss drugs sit in the small group of medications states are permitted to exclude, they are the first thing cut when a Medicaid budget is under strain. That is exactly what happened: 16 states covered GLP-1s for obesity in October 2025. By January 2026 it was 13. California, New Hampshire, Pennsylvania and South Carolina all eliminated coverage on 1 January 2026. North Carolina removed it in October 2025 and restored it in December. Michigan and Virginia narrowed eligibility to morbid obesity. Massachusetts and Rhode Island have both proposed removal.

The practical implication: this is the most volatile variable in the entire cost question, and any page telling you what your state covers — including this one — may be out of date. Confirm with your state Medicaid agency before you rely on it.

All 50 states and DC

Medicaid GLP-1 coverage for obesity and provider availability, all 50 states + DC, January 2026 (KFF); state actions through April 2026
StateAbbrMedicaid covers GLP-1s for obesity?Provider notes
AlabamaALdoes not cover
AlaskaAKdoes not cover
ArizonaAZdoes not cover
ArkansasARdoes not cover
CaliforniaCAELIMINATED Jan 2026Oak Longevity unavailable; bmiMD $379.99 surcharge
ColoradoCOdoes not cover
ConnecticutCTdoes not cover
DelawareDEcovers
FloridaFLdoes not cover
GeorgiaGAdoes not cover
HawaiiHIdoes not cover
IdahoIDdoes not cover
IllinoisILdoes not cover
IndianaINdoes not cover
IowaIAdoes not cover
KansasKScovers
KentuckyKYdoes not cover
LouisianaLAdoes not cover
MaineMEdoes not cover
MarylandMDdoes not cover
MassachusettsMAcovers — at risk
MichiganMIcovers (restricted)
MinnesotaMNcovers
MississippiMScovers
MissouriMOcovers
MontanaMTdoes not cover
NebraskaNEdoes not cover
NevadaNVdoes not cover
New HampshireNHELIMINATED Jan 2026
New JerseyNJdoes not cover
New MexicoNMdoes not cover
New YorkNYdoes not cover
North CarolinaNCreinstated Dec 2025bmiMD $379.99 surcharge
North DakotaNDdoes not cover
OhioOHdoes not cover
OklahomaOKdoes not cover
OregonORdoes not cover
PennsylvaniaPAELIMINATED Jan 2026
Rhode IslandRIcovers — at risk
South CarolinaSCELIMINATED Jan 2026
South DakotaSDdoes not cover
TennesseeTNcovers
TexasTXdoes not cover
UtahUTcovers
VermontVTdoes not cover
VirginiaVAcovers (restricted)
WashingtonWAdoes not cover
West VirginiaWVdoes not cover
WisconsinWIcovers
WyomingWYdoes not cover
District of ColumbiaDCdoes not cover

Providers that exclude states or charge more

State-specific provider exclusions and surcharges, July 6, 2026
ProviderState positionImpact
Oak LongevityNOT available in CaliforniaThe cheapest compounded semaglutide in our set ($133) is unavailable to ~39 million people
bmiMD$379.99 in CA and NC (vs $289)A $91/month state surcharge — $1,092 a year
MEDVi49 statesOne state excluded; the company does not publish which
NexLifeAll 50 states (company-stated)Provider-reported. We have not independently audited state licensure
LillyDirect / NovoCareNationwideManufacturer-direct. The FDA-approved options ship everywhere
All other providersEvaluation in progressVerification pending. We do not assert what we have not checked

If you are under 21

EPSDT changes the answerIf you are under 21, the rules are different — and better. Federal EPSDT law (Early and Periodic Screening, Diagnostic and Treatment) requires Medicaid to cover medically necessary treatment for enrollees under 21, even where the same treatment is excluded for adults. A state cannot apply a blanket 'we do not cover weight-loss drugs' exclusion to someone under 21. Pennsylvania's January 2026 cut explicitly preserved under-21 access for precisely this reason. If a claim for someone under 21 has been denied, that denial is appealable, and EPSDT is the ground to appeal on.
Obesity is not the only route to coverageCoverage for obesity is not the only pathway. Where a GLP-1 is prescribed for a condition other than weight loss, mandatory-coverage rules generally apply:
Type 2 diabetes — covered in every state Medicaid programme, with prior authorisation.
Cardiovascular risk reduction — Wegovy has been FDA-approved for this since March 2024.
Obstructive sleep apnoea — Zepbound has been approved for this since December 2024.
MASH with liver fibrosis — Wegovy was approved for noncirrhotic MASH in August 2025. California has explicitly confirmed this pathway survives its obesity-coverage cut.

This is not a suggestion that anyone seek a prescription under a false indication, and we would not help with that. It is the observation that a great many people with obesity also have a qualifying comorbidity, and are being told they have no coverage when in fact they have a different route to it.

The five steps for checking any GLP-1 price yourself — and the four ways a price gets misquoted — are set out on why AI chatbots give wrong GLP-1 prices.

Frequently asked questions

Which states cover GLP-1s for weight loss under Medicaid?

Thirteen, as of January 2026 — down from sixteen in October 2025. They include Delaware, Kansas, Michigan (restricted to morbid obesity), Minnesota, Mississippi, Missouri, North Carolina, Tennessee, Utah, Virginia (restricted) and Wisconsin. Massachusetts and Rhode Island currently cover but have proposed removal.

Which states just eliminated coverage?

California, New Hampshire, Pennsylvania and South Carolina all eliminated GLP-1 coverage for obesity effective 1 January 2026. North Carolina removed it in October 2025 and reinstated it in December.

Does Medicaid cover GLP-1s for diabetes?

Yes — in every state. Coverage for type 2 diabetes is effectively mandatory. It is coverage for obesity that is optional, and that is what states have been cutting. These two questions get conflated constantly and they have different answers.

Are there GLP-1 providers that don't serve every state?

Yes. Oak Longevity — the cheapest compounded semaglutide in our set at $133/month — is NOT available in California. bmiMD charges $379.99 in California and North Carolina versus $289 elsewhere. MEDVi serves 49 states. LillyDirect and NovoCare ship nationwide.

Sources

  1. KFF — "Medicaid Coverage of and Spending on GLP-1s" (January 2026).
  2. Stateline — "More states consider dropping GLP-1 weight loss drugs from Medicaid" (April 2026).
  3. Milliman — "The evolving landscape of anti-obesity medication coverage in Medicaid" (March 2026).
  4. State boards of pharmacy — licensee databases, the primary source for verifying a pharmacy licence.
  5. Provider pricing dataset, July 6, 2026.
  6. Our source hierarchy. KFF and Stateline are policy-research and public-affairs sources, not affiliate comparison sites; we do not use affiliate sites as evidence.

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