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

Covered, prior authorization. Wegovy is a preferred weight management agent

Does Minnesota Medicaid cover Mounjaro or Zepbound for weight loss?

Covered, prior authorization. Zepbound is non-preferred, so a preferred agent has to be tried first

Does Minnesota Medicaid cover Saxenda or Victoza for weight loss?

Covered, prior authorization. Saxenda is a preferred weight management agent

Medicaid coverage

Minnesota: what Medicaid covers

Minnesota keeps a weight management agents class with Saxenda and Wegovy preferred, and orlistat, Xenical and Zepbound non-preferred. The claims record agrees with the preference: Minnesota reimbursed 19,166 Wegovy prescriptions against 7,043 Zepbound in the first quarter of 2026.

Checked against the primary source August 25, 2026

What Medicaid in Minnesota covers, and the criteria that apply.
Drug	Position	Criteria
Semaglutide	Prior authorization	Wegovy is a preferred weight management agent
Tirzepatide	Prior authorization	Zepbound is non-preferred, so a preferred agent has to be tried first
Liraglutide	Prior authorization	Saxenda is a preferred weight management agent

Semaglutide Prior authorization

Wegovy is a preferred weight management agent
Tirzepatide Prior authorization

Zepbound is non-preferred, so a preferred agent has to be tried first
Liraglutide Prior authorization

Saxenda is a preferred weight management agent

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
Minnesota Fee-for-Service and Managed Care Medicaid Uniform Preferred Drug List
Minnesota Department of Human Services Primary text read and checked Checked August 25, 2026