Does South Carolina Medicaid cover Ozempic or Wegovy or Rybelsus for weight loss?

Not covered. Wegovy was preferred in the January 1, 2026 list. The class is gone from April 1, 2026 onward

Does South Carolina Medicaid cover Mounjaro or Zepbound for weight loss?

Not covered. Not in the weight management class in either edition

Does South Carolina Medicaid cover Saxenda or Victoza for weight loss?

Not covered. Saxenda was non-preferred in the January 1, 2026 list. The class is gone from April 1, 2026 onward

Medicaid coverage

South Carolina: what Medicaid covers

South Carolina announced the end of weight-loss coverage for January 1, 2026, but its own list did not change on that date. The January 1, 2026 edition still shows a weight management agents class with Wegovy preferred. The class first disappears in the April 1, 2026 edition, and no February or March edition was published.

Checked against the primary source August 25, 2026

What Medicaid in South Carolina covers, and the criteria that apply.
Drug	Position	Criteria
Semaglutide	Not covered	Wegovy was preferred in the January 1, 2026 list. The class is gone from April 1, 2026 onward Changed April 1, 2026
Tirzepatide	Not covered	Not in the weight management class in either edition
Liraglutide	Not covered	Saxenda was non-preferred in the January 1, 2026 list. The class is gone from April 1, 2026 onward Changed April 1, 2026

Semaglutide Not covered

Wegovy was preferred in the January 1, 2026 list. The class is gone from April 1, 2026 onward

Changed April 1, 2026
Tirzepatide Not covered

Not in the weight management class in either edition
Liraglutide Not covered

Saxenda was non-preferred in the January 1, 2026 list. The class is gone from April 1, 2026 onward

Changed April 1, 2026

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
South Carolina Medicaid Preferred Drug List, 1 January 2026 edition
South Carolina Department of Health and Human Services Primary text read and checked Checked August 25, 2026
2
South Carolina Medicaid Preferred Drug List, current edition
South Carolina Department of Health and Human Services Primary text read and checked Checked August 25, 2026