Arkansas Medicaid

Does Arkansas Medicaid cover Mounjaro?

Quick answer · Type 2 Diabetes

Arkansas Medicaid covers Mounjaro for type 2 diabetes with prior authorization on Medicaid.

  • Medicaid: Covered with requirements. Diagnosis documented with a code

Last verified June 4, 2026. Policy effective April 1, 2025. Source: pacriteria. How we verify this data →

Check your card for your exact plan →

Mounjaro for Type 2 Diabetes

What Arkansas Medicaid requires, by plan type. Open this indication on its own page →

Medicaid

Covered with requirements

What you need to qualify

  • Diagnosis documented with a code

Qualification pathways

You can qualify through any one of these.

Non-preferred GLP-1 agonist for T2DM with metformin use

All of:

  • Diagnosis of type 2 diabetes mellitus
  • Metformin claim in the last 186 days

Non-preferred GLP-1 agonist for T2DM with high A1C

All of:

  • Diagnosis of type 2 diabetes mellitus
  • HbA1c >= 9 in the last 186 days

Non-preferred GLP-1 agonist for T2DM with ASCVD

All of:

  • Diagnosis of type 2 diabetes mellitus
  • Diagnosis of ASCVD (e.g., CABG, Angina, CHD, CAD, MI, heart failure, CVD, TIA, PAD, aortic atherosclerosis, thoracic or abdominal aortic aneurysm)

Documentation to bring

  • Documentation of type 2 diabetes mellitus diagnosis
  • Metformin claim within the last 186 days OR HbA1c >= 9 within the last 186 days OR documentation of ASCVD diagnosis

Policy note: Mounjaro is a non-preferred GLP-1 agonist on the Arkansas Medicaid formulary. The approval criteria listed apply to preferred GLP-1 agonists; non-preferred products 'will continue to require prior authorization.' The document does not specify separate non-preferred GLP-1 criteria distinct from the preferred criteria, so the preferred criteria are applied here as the applicable standard. PA requests submitted via CoverMyMeds or faxed to 800-424-7976.

Policy effective April 1, 2025 · verified June 4, 2026 · source: pacriteria

Why Mounjaro requests get denied by Arkansas Medicaid

Based on what this policy asks for. Fix these before the first submission.

  1. Wrong brand for the diagnosis. Mounjaro and Zepbound are the same molecule with different approved uses; a request for Mounjaro under a diagnosis that matches Zepbound is routinely denied.
  2. Diagnosis code missing or wrong on the request.

Frequently asked questions

Does Arkansas Medicaid cover Mounjaro?
Arkansas Medicaid covers Mounjaro for type 2 diabetes with prior authorization on Medicaid.
How current is this information?
This page reflects Arkansas Medicaid's written policy as of April 1, 2025, last verified against the source document on June 4, 2026.

Other medications under Arkansas Medicaid

Mounjaro coverage under other plans

All insurance plans · All medications

This page summarizes Arkansas Medicaid's written prior-authorization policy. It is not a guarantee of coverage; plans vary by employer and benefit design. Verify with your plan before relying on it.