Providers Coverage Costs Reference

51/51 states verified · 25/25 providers audited

Medicaid coverage

Florida: what Medicaid covers

Florida Medicaid excludes weight-control medications from its prescribed drug benefit, and the July 1, 2026 preferred drug list names no weight-loss brand. The diabetes versions of the same molecules, Ozempic and Mounjaro, are on the list with prior authorization, but the weight-loss drugs are not covered.

By John Weeks Checked against the primary source August 27, 2026
What Medicaid in Florida covers, and the criteria that apply.
Drug Position Criteria
Semaglutide Not covered Weight-control medications are excluded from the prescribed drug benefit; Wegovy is not on the PDL
Tirzepatide Not covered Weight-control medications are excluded from the prescribed drug benefit; Zepbound is not on the PDL
Liraglutide Not covered Weight-control medications are excluded from the prescribed drug benefit; Saxenda is not on the PDL
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.

2 cited records
  1. 1
    Florida Medicaid Prescribed Drugs Services Coverage Policy, December 2017 (incorporated by reference into F.A.C. 59G-4.250, current version effective 12/24/2017)

    Florida Agency for Health Care Administration (AHCA) Primary text read and checked Checked August 27, 2026

  2. 2
    Florida Medicaid Preferred Drug List, Effective July 1, 2026

    Florida Agency for Health Care Administration (AHCA) Primary text read and checked Checked August 27, 2026