Does Alaska Medicaid cover Ozempic or Wegovy or Rybelsus for weight loss?

Not covered. Medications prescribed for weight management are not covered by Alaska Medicaid, under 7 AAC 120.112

Does Alaska Medicaid cover Mounjaro or Zepbound for weight loss?

Other indications only. Not covered for weight management. Zepbound is covered for moderate to severe obstructive sleep apnea with clinical criteria

Does Alaska Medicaid cover Saxenda or Victoza for weight loss?

Not covered. Medications prescribed for weight management are not covered by Alaska Medicaid, under 7 AAC 120.112

Medicaid coverage

Alaska: what Medicaid covers

Alaska Medicaid does not cover Wegovy, Zepbound or Saxenda for weight loss. Its July 17, 2026 provider letter restates that medications prescribed for weight management are not covered, and the state regulation says it will not pay for a drug used to treat obesity. Zepbound is the one exception in this group, covered for moderate to severe obstructive sleep apnea under clinical criteria, but not for weight loss.

Checked against the primary source August 27, 2026

What Medicaid in Alaska covers, and the criteria that apply.
Drug	Position	Criteria
Semaglutide	Not covered	Medications prescribed for weight management are not covered by Alaska Medicaid, under 7 AAC 120.112
Tirzepatide	Other indications only	Not covered for weight management. Zepbound is covered for moderate to severe obstructive sleep apnea with clinical criteria
Liraglutide	Not covered	Medications prescribed for weight management are not covered by Alaska Medicaid, under 7 AAC 120.112

Semaglutide Not covered

Medications prescribed for weight management are not covered by Alaska Medicaid, under 7 AAC 120.112
Tirzepatide Other indications only

Not covered for weight management. Zepbound is covered for moderate to severe obstructive sleep apnea with clinical criteria
Liraglutide Not covered

Medications prescribed for weight management are not covered by Alaska Medicaid, under 7 AAC 120.112

If the answer is no. Around 45% of initial prior authorizations for these drugs are refused, and 35 to 45% of first-level appeals are overturned. A refusal is not the end of the process, and the cash-pay routes are priced on this site alongside it.

Sources

Every claim above is checked against the primary text, and the date is the day we last opened it.

1
RE: Alaska Medicaid Coverage of Zepbound for Obstructive Sleep Apnea
Alaska Department of Health, Division of Health Care Services, Pharmacy & Ancillary Services Unit Primary text read and checked Checked August 27, 2026
2
7 AAC 120.112. Non-covered drugs
State of Alaska, Alaska Administrative Code (Title 7, Part 8, Chapter 120), via Cornell Legal Information Institute Primary text read and checked Checked August 27, 2026