Illinois Medicaid coverage for Zepbound (Weight Loss)

Zepbound is listed as a 'Not covered agent' on the Illinois Medicaid GLP-1/GIP criteria. Additionally, the policy explicitly excludes medications requested for obesity alone or in combination with another condition secondary to obesity per IL Medicaid policy.

Policy note: Zepbound is explicitly listed as a 'Not covered agent' on the Illinois Medicaid GLP-1/GIP PDL. No PA criteria established; coverage is denied.

Policy effective April 29, 2025 · verified June 4, 2026 · source: policy-359.html