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

Other indications only. Listed only under "GLP-1 agonists for non-obesity indications". Prior authorization for cardiovascular events or MASH

Medicaid coverage

Ohio: what Medicaid covers

Ohio files Wegovy under a class titled "GLP-1 agonists for non-obesity indications", and sets out prior-authorization criteria for cardiovascular events and MASH only. Continuing an authorization requires documented weight loss of at least 5% from baseline.

Checked against the primary source August 25, 2026

What Medicaid in Ohio covers, and the criteria that apply.
Drug	Position	Criteria
Semaglutide	Other indications only	Listed only under "GLP-1 agonists for non-obesity indications". Prior authorization for cardiovascular events or MASH
Tirzepatide	not checked	Not named in the unified list, which states it is not an all-inclusive list of covered drugs
Liraglutide	not checked	Not named in the unified list, which states it is not an all-inclusive list of covered drugs

Semaglutide Other indications only

Listed only under "GLP-1 agonists for non-obesity indications". Prior authorization for cardiovascular events or MASH
Tirzepatide not checked

Not named in the unified list, which states it is not an all-inclusive list of covered drugs
Liraglutide not checked

Not named in the unified list, which states it is not an all-inclusive list of covered drugs

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
Ohio Medicaid Unified Preferred Drug List
Ohio Department of Medicaid Primary text read and checked Checked August 25, 2026