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.
| 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 |
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Semaglutide Prior authorization
Prior authorization on the anti-obesity drug form. Age 12 and over for Wegovy
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Tirzepatide Prior authorization
Prior authorization on the anti-obesity drug form. Age 18 and over
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Liraglutide Prior authorization
Prior authorization on the anti-obesity drug form. Age 12 and over for Saxenda
Sources
Every claim above is checked against the primary text, and the date is the day we last opened it.
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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