Medicaid coverage
Kansas: what Medicaid covers
Kansas requires prior authorization on all three, with a documented baseline weight and BMI, a lifestyle plan alongside the drug, and a rule that a patient who has type 2 diabetes must use the diabetes formulation instead.
| Drug | Position | Criteria |
|---|---|---|
| Semaglutide | Prior authorization | BMI of 30, or 27 with a weight-related condition. Adolescents 12 and over at the 95th percentile. Must reach and hold the labeled dose |
| Tirzepatide | Prior authorization | BMI of 30, or 27 with a weight-related condition. Adolescents 12 and over at the 95th percentile |
| Liraglutide | Prior authorization | BMI of 30, or 27 with a weight-related condition. Must reach and hold the labeled dose |
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Semaglutide Prior authorization
BMI of 30, or 27 with a weight-related condition. Adolescents 12 and over at the 95th percentile. Must reach and hold the labeled dose
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Tirzepatide Prior authorization
BMI of 30, or 27 with a weight-related condition. Adolescents 12 and over at the 95th percentile
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Liraglutide Prior authorization
BMI of 30, or 27 with a weight-related condition. Must reach and hold the labeled dose
Sources
Every claim above is checked against the primary text, and the date is the day we last opened it.
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Criteria for Prior Authorization: Anti-Obesity Medications (AOMs)
Kansas Department of Health and Environment, KMAP Primary text read and checked Checked August 25, 2026