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BCBS North Dakota

Does BCBS North Dakota cover Wegovy for Liver Disease (MASH)?

Yes. BCBS North Dakota covers Wegovy for liver disease (MASH) with prior authorization. Other policy requirements and your plan's benefits also apply.

Policy document

  • Employer and ACA Marketplace: Covered with requirements. See the qualification pathways below.

Earliest policy review June 2, 2026. How we verify · Check your exact plan

Full requirements: Wegovy for Liver Disease (MASH) (2 plan types)

Applies to Employer and ACA Marketplace plans.

Covered with requirements

Qualification pathways

You can qualify through any one of these.

MASH with moderate to advanced liver fibrosis

All of:

  • Adult patient (age ≥ 18)
  • Diagnosis of noncirrhotic metabolic dysfunction-associated steatohepatitis (MASH)
  • Moderate to advanced liver fibrosis consistent with stages F2 to F3

Documentation to bring

  • Documentation of noncirrhotic MASH diagnosis
  • Documentation of liver fibrosis stage F2 to F3 (moderate to advanced fibrosis)

Not covered when

  • Cirrhotic MASH is excluded (noncirrhotic only)
  • Coadministration with other semaglutide-containing products is not recommended
  • Coadministration with any other GLP-1 receptor agonist is not recommended

Policy note: FDA indication for MASH listed as subcutaneous injection formulation only (not tablet). Indication is for noncirrhotic MASH with moderate to advanced liver fibrosis (F2 to F3). Specific confirmation methods, lookback periods, and alcohol use requirements are not enumerated in the provided document text — only the FDA indication summary is presented.

Policy effective April 20, 2026 · verified June 2, 2026 · source: Nd Weight Management Paql Prog Sum · View policy document (PDF)

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Questions people ask
Does BCBS North Dakota cover Wegovy?
Yes. BCBS North Dakota covers Wegovy for liver disease (MASH) with prior authorization. Other policy requirements and your plan's benefits also apply.
How current is this information?
The oldest review date among the policies on this page is June 2, 2026. Each policy's effective and verification dates appear with its requirements. Confirm current benefits with your plan.

Also under BCBS North Dakota: Mounjaro, Ozempic, Zepbound

Wegovy under other plans: North Dakota Medicaid, BCBS Alabama, BCBS Arizona, BCBS Arkansas, BCBS Louisiana, BCBS Massachusetts, BCBS Michigan, BCBS Minnesota

All insurance plans · All medications

Summary of BCBS North Dakota's written policy, not a guarantee of coverage. Plans vary by employer and benefit design.