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Idaho Medicaid

Does Idaho Medicaid cover Ozempic for Type 2 Diabetes?

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

Policy document

  • Medicaid: Covered (preferred drug). See the qualification pathways below.

Earliest policy review June 4, 2026. How we verify · Check your exact plan

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

Applies to Medicaid plans.

Covered (preferred drug)

Qualification pathways

You can qualify through any one of these.

Preferred agent — T2DM diagnosis

All of:

  • ICD-10 diagnosis of type 2 diabetes mellitus in member's record or submitted with pharmacy claim

Documentation to bring

  • ICD-10 diagnosis code for type 2 diabetes mellitus in member's record or submitted with pharmacy claim

Policy note: Ozempic is listed as a Preferred Agent under the GLP-1 Receptor Agonists class on the Idaho Medicaid PDL. The only stated PA criterion is an ICD-10 type 2 diabetes diagnosis. The document does not establish PA criteria for non-diabetes indications. Last revised March 2, 2026; PDL effective January 1, 2026.

Policy effective January 1, 2026 · verified June 4, 2026 · source: Policy 396 · View policy document (PDF)

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Questions people ask
Does Idaho Medicaid cover Ozempic?
Yes. Idaho Medicaid covers Ozempic 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.

Also under Idaho Medicaid: Mounjaro

Ozempic under other plans: Regence, Alabama Medicaid, Arkansas Medicaid, California Medicaid, Clover Health, Colorado Medicaid, Connecticut Medicaid, Delaware Medicaid

All insurance plans · All medications

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