Providers Coverage Costs Reference

51/51 states verified · 14/25 providers audited

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.

Checked against the primary source August 28, 2026
What Medicaid in South Dakota covers, and the criteria that apply.
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
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. 1
    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