Providers Coverage Costs Reference

27/51 states verified · 14/25 providers audited

Medicaid coverage

Georgia: what Medicaid covers

Georgia is the only state read so far whose weight-loss cover is written for adolescents rather than adults. Saxenda carries a prior authorization for ages 12 to 17, and Xenical is listed as "covered 12 - 17 yrs old". The list says of itself that it does not include every covered drug, so the absence of Wegovy and Zepbound is not evidence that Georgia refuses them.

Checked against the primary source August 26, 2026
What Medicaid in Georgia covers, and the criteria that apply.
Drug Position Criteria
Semaglutide Other indications only Ozempic is preferred and Rybelsus non-preferred, both with prior authorization and a quantity limit. Wegovy is not named in either edition of the list
Tirzepatide Other indications only Mounjaro is preferred, with prior authorization and a quantity limit. Zepbound is not named in either edition of the list
Liraglutide Prior authorization Saxenda is non-preferred, with prior authorization written for ages 12 to 17. An adult is outside the age range the authorization is set for
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. 1
    Georgia Medicaid/PeachCare Preferred Drug List, effective July 1, 2026

    Georgia Department of Community Health Primary text read and checked Checked August 26, 2026

  2. 2
    Georgia Medicaid/PeachCare Preferred Drug List by drug name, effective July 1, 2026

    Georgia Department of Community Health Primary text read and checked Checked August 26, 2026