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

Other indications only. Approvable at 18 or over with established cardiovascular disease and a BMI of 27 or more, without type 2 diabetes. MASH has its own route

Does Colorado Medicaid cover Mounjaro or Zepbound for weight loss?

Other indications only. Non-preferred. Approvable at 18 or over for moderate to severe obstructive sleep apnea

Does Colorado Medicaid cover Saxenda or Victoza for weight loss?

Not covered. The weight-loss exclusion applies. The preferred liraglutide pen is for type 2 diabetes

Medicaid coverage

Colorado: what Medicaid covers

Colorado states the rule in one line on the list itself: prior authorization for GLP-1 analogues prescribed solely for weight loss will not be approved. Cardiovascular disease, MASH and sleep apnea each have their own criteria.

Checked against the primary source August 25, 2026

What Medicaid in Colorado covers, and the criteria that apply.
Drug	Position	Criteria
Semaglutide	Other indications only	Approvable at 18 or over with established cardiovascular disease and a BMI of 27 or more, without type 2 diabetes. MASH has its own route
Tirzepatide	Other indications only	Non-preferred. Approvable at 18 or over for moderate to severe obstructive sleep apnea
Liraglutide	Not covered	The weight-loss exclusion applies. The preferred liraglutide pen is for type 2 diabetes

Semaglutide Other indications only

Approvable at 18 or over with established cardiovascular disease and a BMI of 27 or more, without type 2 diabetes. MASH has its own route
Tirzepatide Other indications only

Non-preferred. Approvable at 18 or over for moderate to severe obstructive sleep apnea
Liraglutide Not covered

The weight-loss exclusion applies. The preferred liraglutide pen is for type 2 diabetes

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
Colorado Medicaid Preferred Drug List
Colorado Department of Health Care Policy and Financing Primary text read and checked Checked August 25, 2026