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

Other indications only. Established cardiovascular disease at a BMI of 27, named by a cardiologist, or MASH at stage F2 to F3 named by a hepatologist. The form has no other Wegovy box

Does Maryland Medicaid cover Mounjaro or Zepbound for weight loss?

Other indications only. Moderate to severe sleep apnea at an apnea-hypopnea index of 15, with a BMI of 30, confirmed annually after the first year

Medicaid coverage

Maryland: what Medicaid covers

Maryland answers this with the form itself. There are three boxes on it: cardiovascular disease and MASH for Wegovy, sleep apnea for Zepbound. There is no box for weight management, and a prescriber cannot write one in. The form still asks them to attest to a failed weight-loss attempt in the past six months.

Checked against the primary source August 25, 2026

What Medicaid in Maryland covers, and the criteria that apply.
Drug	Position	Criteria
Semaglutide	Other indications only	Established cardiovascular disease at a BMI of 27, named by a cardiologist, or MASH at stage F2 to F3 named by a hepatologist. The form has no other Wegovy box
Tirzepatide	Other indications only	Moderate to severe sleep apnea at an apnea-hypopnea index of 15, with a BMI of 30, confirmed annually after the first year
Liraglutide	not checked	Maryland uses a form per drug and this one covers Wegovy and Zepbound. No Saxenda form was located

Semaglutide Other indications only

Established cardiovascular disease at a BMI of 27, named by a cardiologist, or MASH at stage F2 to F3 named by a hepatologist. The form has no other Wegovy box
Tirzepatide Other indications only

Moderate to severe sleep apnea at an apnea-hypopnea index of 15, with a BMI of 30, confirmed annually after the first year
Liraglutide not checked

Maryland uses a form per drug and this one covers Wegovy and Zepbound. No Saxenda form was located

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
Wegovy and Zepbound Prior Authorization Form
Maryland Department of Health, Office of Pharmacy Services Primary text read and checked Checked August 25, 2026