Medicaid coverage
South Dakota: what Medicaid covers
South Dakota states it plainly in the non-covered section of its pharmacy billing manual: agents used for anorexia, weight loss, weight gain, hair growth or cosmetic purposes are not covered. The exclusion is written by purpose rather than by product, so it does not depend on any brand being listed, and none of the three is named anywhere in the manual.
| Drug | Position | Criteria |
|---|---|---|
| Semaglutide | Not covered | Agents used for weight loss are on the non-covered list in the pharmacy manual |
| Tirzepatide | Not covered | Agents used for weight loss are on the non-covered list in the pharmacy manual |
| Liraglutide | Not covered | Agents used for weight loss are on the non-covered list in the pharmacy manual |
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Semaglutide Not covered
Agents used for weight loss are on the non-covered list in the pharmacy manual
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Tirzepatide Not covered
Agents used for weight loss are on the non-covered list in the pharmacy manual
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Liraglutide Not covered
Agents used for weight loss are on the non-covered list in the pharmacy manual
Sources
Every claim above is checked against the primary text, and the date is the day we last opened it.
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South Dakota Medicaid Billing and Policy Manual: Pharmacy Services
South Dakota Department of Social Services, Division of Medical Services Primary text read and checked Checked August 28, 2026