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

Covered, prior authorization. Wegovy preferred, with prior authorization and a quantity limit

Does Tennessee Medicaid cover Mounjaro or Zepbound for weight loss?

Covered, prior authorization. Zepbound preferred, with prior authorization and a quantity limit

Does Tennessee Medicaid cover Saxenda or Victoza for weight loss?

Covered, prior authorization. Non-preferred, with prior authorization and a quantity limit

Medicaid coverage

Tennessee: what Medicaid covers

TennCare lists a separate "GLP-1 weight management agents" class, with Wegovy and Zepbound both preferred.

Checked against the primary source August 25, 2026

What Medicaid in Tennessee covers, and the criteria that apply.
Drug	Position	Criteria
Semaglutide	Prior authorization	Wegovy preferred, with prior authorization and a quantity limit
Tirzepatide	Prior authorization	Zepbound preferred, with prior authorization and a quantity limit
Liraglutide	Prior authorization	Non-preferred, with prior authorization and a quantity limit

Semaglutide Prior authorization

Wegovy preferred, with prior authorization and a quantity limit
Tirzepatide Prior authorization

Zepbound preferred, with prior authorization and a quantity limit
Liraglutide Prior authorization

Non-preferred, with prior authorization and a quantity limit

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
TennCare Preferred Drug List
Division of TennCare, State of Tennessee Primary text read and checked Checked August 25, 2026