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Kansas Medicaid

Does Kansas Medicaid cover Ozempic for Kidney Disease (CKD)?

Yes. Kansas Medicaid covers Ozempic for kidney disease (CKD) 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

Full requirements: Ozempic for Kidney Disease (CKD) (1 plan type)

Applies to Medicaid plans.

Covered with requirements

Qualification pathways

You can qualify through any one of these.

Risk reduction for CKD with T2DM

All of:

  • Diagnosis of T2DM
  • Diagnosis of chronic kidney disease
  • Age ≥ 18 years
  • Dose does not exceed 2 mg SQ once weekly
  • Patient is not currently on a DPP-4 inhibitor
  • Preferred PDL drug trial completed unless non-preferred PDL PA criteria met

Documentation to bring

  • Diagnosis of T2DM
  • Diagnosis of chronic kidney disease
  • Confirmation patient is not currently on a DPP-4 inhibitor
  • Documentation that preferred PDL drug was tried or reason for non-preferred PA criteria

Quantity limits

  • 0.25mg, 0.5mg, 1mg, 2mg — Max 2 mg SQ once weekly

Approval and renewal

  • Renewal: No renewal required for CKD risk reduction indication (indefinite initial approval).

Not covered when

  • Concurrent DPP-4 inhibitor use
  • Type 1 diabetes

Policy note: Table 1 specifically lists the CKD indication for Ozempic as: 'Risk reduction of sustained eGFR decline, end-stage kidney disease and CV death in adults with T2DM and chronic kidney disease.' Approval is indefinite (no renewal required). The document does not specify minimum eGFR or UACR thresholds for the CKD indication; criteria are per FDA label.

Policy effective April 16, 2025 · verified June 4, 2026 · source: Diabetes Mellitus Type 2 Agents Pdf · View policy document (PDF)

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Questions people ask
Does Kansas Medicaid cover Ozempic?
Yes. Kansas Medicaid covers Ozempic for kidney disease (CKD) with prior authorization. Other policy requirements and your plan's benefits also apply.
What does Kansas Medicaid require to renew Ozempic?
Kidney Disease (CKD) — Applies to Medicaid plans. No renewal required for CKD risk reduction indication (indefinite initial approval).
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 Kansas Medicaid: Mounjaro, Wegovy, Zepbound

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

All insurance plans · All medications

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