Skip to content

California Medicaid

Does California Medicaid cover Wegovy for Weight Loss?

No. California Medicaid's policies on file exclude Wegovy for weight loss on Medicaid plans.

Policy document

  • Medicaid: Not covered. Effective January 1, 2026, Wegovy is no longer eligible for coverage for weight loss or weight loss-related...

Earliest policy review June 3, 2026. How we verify · Check your exact plan

Full requirements: Wegovy for Weight Loss (1 plan type)

Applies to Medicaid plans.

Not covered

Effective January 1, 2026, Wegovy is no longer eligible for coverage for weight loss or weight loss-related indications.

Exceptions

  • under_21_epsdt: Effective January 1, 2026, PA requests submitted for weight loss or weight loss-related indications will be reviewed for medical necessity for members younger than 21 years of age pursuant to the federal Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit.

Policy note: Removal from coverage effective January 1, 2026. EPSDT exception applies for members under age 21.

Policy effective April 6, 2026 · verified June 3, 2026 · source: 12 A GLP-1 Coverage Considerations · View policy document (PDF)

Open on its own page →

If weight loss isn't covered on your plan

A prior authorization can't override a benefit exclusion. Ask California Medicaid about a formulary exception.

Questions people ask
Does California Medicaid cover Wegovy?
No. California Medicaid's policies on file exclude Wegovy for weight loss on Medicaid plans.
How current is this information?
The oldest review date among the policies on this page is June 3, 2026. Each policy's effective and verification dates appear with its requirements. Confirm current benefits with your plan.

Also under California Medicaid: Mounjaro, Ozempic, Zepbound

Wegovy under other plans: Elevance Health, Kaiser Permanente Northern California, Kaiser Permanente Southern California, Molina Healthcare, Alabama Medicaid, Clover Health, Colorado Medicaid, Connecticut Medicaid

All insurance plans · All medications

Summary of California Medicaid's written policy, not a guarantee of coverage. Plans vary by employer and benefit design.