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

Not covered. Weight loss is not covered by Arkansas Medicaid. Wegovy is named nowhere on the preferred drug list

Does Arkansas Medicaid cover Mounjaro or Zepbound for weight loss?

Not covered. Weight loss is not covered by Arkansas Medicaid. Zepbound is named nowhere on the preferred drug list

Does Arkansas Medicaid cover Saxenda or Victoza for weight loss?

Not covered. Weight loss is not covered by Arkansas Medicaid. Saxenda is named nowhere on the preferred drug list

Medicaid coverage

Arkansas: what Medicaid covers

Arkansas states it in its own provider newsletter, in capitals: weight loss is not covered by Arkansas Medicaid. The preferred drug list agrees by omission. It has no weight-management class at all, and its GLP-1 class holds only the diabetes products Trulicity, Victoza, Mounjaro, Ozempic and Rybelsus.

Checked against the primary source August 28, 2026

What Medicaid in Arkansas covers, and the criteria that apply.
Drug	Position	Criteria
Semaglutide	Not covered	Weight loss is not covered by Arkansas Medicaid. Wegovy is named nowhere on the preferred drug list
Tirzepatide	Not covered	Weight loss is not covered by Arkansas Medicaid. Zepbound is named nowhere on the preferred drug list
Liraglutide	Not covered	Weight loss is not covered by Arkansas Medicaid. Saxenda is named nowhere on the preferred drug list

Semaglutide Not covered

Weight loss is not covered by Arkansas Medicaid. Wegovy is named nowhere on the preferred drug list
Tirzepatide Not covered

Weight loss is not covered by Arkansas Medicaid. Zepbound is named nowhere on the preferred drug list
Liraglutide Not covered

Weight loss is not covered by Arkansas Medicaid. Saxenda is named nowhere on the preferred drug list

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
Arkansas Medicaid Provider Quarterly Newsletter, April 2026 (Q2 2026)
Arkansas Department of Human Services, Division of Medical Services Primary text read and checked Checked August 27, 2026
2
Arkansas Medicaid Preferred Drug List, revised 07/01/2026 (effective July 1, 2026)
Arkansas Department of Human Services, Division of Medical Services (via Prime Therapeutics, the Arkansas Medicaid PBM) Primary text read and checked Checked August 27, 2026