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Georgia Medicaid

Does Georgia Medicaid cover Mounjaro?

Yes. Georgia Medicaid covers Mounjaro for type 2 diabetes with prior authorization. Other policy requirements and your plan's benefits also apply.

Policy document

  • Medicaid: Covered with requirements. See the qualification pathways below.

Earliest policy review June 4, 2026. How we verify · Check your exact plan · Medicaid card names in Georgia

Full requirements: Mounjaro for Type 2 Diabetes (1 plan type)

Applies to Medicaid plans.

Covered with requirements

Qualification pathways

You can qualify through any one of these.

T2DM on background antidiabetic therapy with prior GLP-1 failure

All of:

  • Age ≥ 18 years
  • Diagnosis of type 2 diabetes mellitus
  • HbA1c ≥ 7%
  • Currently on metformin, SGLT2 inhibitor, sulfonylurea, or thiazolidinedione therapy
  • Inadequate response, allergy, contraindication, drug-drug interaction, or intolerable side effects to exenatide, Victoza, AND Ozempic

Documentation to bring

  • Documentation of type 2 diabetes mellitus diagnosis
  • HbA1c lab result ≥ 7%
  • Documentation of current background antidiabetic therapy (metformin, SGLT2 inhibitor, sulfonylurea, or thiazolidinedione)
  • Documentation of inadequate response, allergy, contraindication, drug-drug interaction, or intolerable side effects to exenatide
  • Documentation of inadequate response, allergy, contraindication, drug-drug interaction, or intolerable side effects to Victoza
  • Documentation of inadequate response, allergy, contraindication, drug-drug interaction, or intolerable side effects to Ozempic

Policy note: Mounjaro is listed as non-preferred under Miscellaneous Antidiabetic Agents. Requires step therapy through all three prior GLP-1 agents: exenatide, Victoza, AND Ozempic. Quantity level limits are referenced externally at the Georgia MMIS portal and not included in this document.

Policy effective December 8, 2025 · verified June 4, 2026 · source: Georgia Medicaid Medicaid prior authorization policy · View policy document (PDF)

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Questions people ask
Does Georgia Medicaid cover Mounjaro?
Yes. Georgia Medicaid covers Mounjaro for type 2 diabetes 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 4, 2026. Each policy's effective and verification dates appear with its requirements. Confirm current benefits with your plan.

Card and program names on file in Georgia

These names map to Georgia Medicaid, including older names and spelling variants. This is not a list of plans currently accepting members.

Also under Georgia Medicaid: Ozempic

Mounjaro under other plans: Elevance Health, Alabama Medicaid, Arkansas Medicaid, California Medicaid, Colorado Medicaid, Connecticut Medicaid, Delaware Medicaid, Florida Medicaid

All insurance plans · All medications

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