Medicaid coverage
Alabama: what Medicaid covers
Alabama answers only one of the three. Its preferred drug list carries a footnote saying Zepbound is preferred with clinical criteria for obstructive sleep apnea with obesity and non-covered for weight reduction without it. Wegovy and Saxenda are named nowhere in it, in either the alphabetical or the therapeutic-category edition, and none of the state’s own documents says why. The list prints only preferred brands and points readers elsewhere for the rest, so their absence is a gap in what we can check rather than a refusal.
| Drug | Position | Criteria |
|---|---|---|
| Semaglutide | not checked | Wegovy is not named on the preferred drug list. The list is a preferred-brand list, so absence from it is not a refusal |
| Tirzepatide | Other indications only | Zepbound is preferred with clinical criteria for obstructive sleep apnea with obesity, and is stated to be non-covered for weight reduction without it |
| Liraglutide | not checked | Saxenda is not named on the preferred drug list. The list is a preferred-brand list, so absence from it is not a refusal |
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Semaglutide not checked
Wegovy is not named on the preferred drug list. The list is a preferred-brand list, so absence from it is not a refusal
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Tirzepatide Other indications only
Zepbound is preferred with clinical criteria for obstructive sleep apnea with obesity, and is stated to be non-covered for weight reduction without it
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Liraglutide not checked
Saxenda is not named on the preferred drug list. The list is a preferred-brand list, so absence from it is not a refusal
Sources
Every claim above is checked against the primary text, and the date is the day we last opened it.
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1
Alabama Medicaid Agency Preferred Drug List, alphabetical listing, effective 04/01/2026
Alabama Medicaid Agency Primary text read and checked Checked August 27, 2026