Providers Coverage Costs Reference

23/51 states verified · 14/25 providers audited

Medicaid coverage

Wisconsin: what Medicaid covers

Wisconsin covers anti-obesity drugs through a dedicated prior-authorization form. The age floor is 18 for most agents, and 12 for Saxenda and Wegovy.

Checked against the primary source August 25, 2026
What Medicaid in Wisconsin covers, and the criteria that apply.
Drug Position Criteria
Semaglutide Prior authorization Prior authorization on the anti-obesity drug form. Age 12 and over for Wegovy
Tirzepatide Prior authorization Prior authorization on the anti-obesity drug form. Age 18 and over
Liraglutide Prior authorization Prior authorization on the anti-obesity drug form. Age 12 and over for Saxenda
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
    Prior Authorization Drug Attachment for Anti-Obesity Drugs (F-00163)

    Wisconsin Department of Health Services, ForwardHealth Primary text read and checked Checked August 25, 2026