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Louisiana Medicaid

Does Louisiana Medicaid cover Mounjaro for Type 2 Diabetes?

Yes. Louisiana 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 2, 2026. How we verify · Check your exact plan · Medicaid card names in Louisiana

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.

Initial Approval - Preferred GLP-1 Agent

All of:

  • Recipient meets minimum age requirement per POS Edits
  • Recipient has a diagnosis of type 2 diabetes mellitus
  • A1C ≥ 6.5% obtained within the previous 6 months

Initial Approval - Non-Preferred GLP-1 Agent (if Mounjaro is non-preferred)

All of:

  • Recipient meets minimum age requirement per POS Edits
  • Recipient has a diagnosis of type 2 diabetes mellitus
  • A1C ≥ 6.5% obtained within the previous 6 months

Plus any one of:

  • Treatment failure with at least one preferred GLP-1 product
  • Intolerable side effect to at least one preferred GLP-1 product
  • Documented contraindication(s) to all preferred GLP-1 products appropriate for the condition
  • No preferred product appropriate to use for the condition being treated

Documentation to bring

  • Diagnosis of type 2 diabetes mellitus
  • A1C lab result ≥ 6.5% obtained within the previous 6 months
  • Minimum age verification per POS Edits
  • If non-preferred: documentation of failure, intolerance, contraindication, or no preferred GLP-1 agent appropriate

Approval and renewal

  • Initial approval: 12 months
  • Renewal: every 12 months
  • Renewal: Prescriber attests that recipient is established on the medication with evidence of a positive response to therapy.

Not covered when

  • Type 1 diabetes

Policy note: Mounjaro is listed in the references section with its package insert, indicating it is covered as a GLP-1 agonist under this diabetes policy. The lower A1C pathway (A1C < 6.5% with CVD history) is explicitly limited to Trulicity, Victoza, and Ozempic — Mounjaro is NOT listed in that alternative pathway. Preferred vs. non-preferred status not specified in this document; see the Single PDL.

Policy effective November 15, 2024 · verified June 2, 2026 · source: Mma And Pos Glp And A1 C Nov 2024 10 11 24 Criteria · View policy document (PDF)

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Questions people ask
Does Louisiana Medicaid cover Mounjaro?
Yes. Louisiana Medicaid covers Mounjaro for type 2 diabetes with prior authorization. Other policy requirements and your plan's benefits also apply.
How long does a Mounjaro approval last with Louisiana Medicaid?
Type 2 Diabetes — Applies to Medicaid plans. Initial approval: 12 months. Renewal: every 12 months.
What does Louisiana Medicaid require to renew Mounjaro?
Type 2 Diabetes — Applies to Medicaid plans. Prescriber attests that recipient is established on the medication with evidence of a positive response to therapy.
How current is this information?
The oldest review date among the policies on this page is June 2, 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 Louisiana

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

Also under Louisiana Medicaid: Ozempic, Wegovy, Zepbound

Mounjaro under other plans: BCBS Louisiana, Alabama Medicaid, Arkansas Medicaid, California Medicaid, Colorado Medicaid, Connecticut Medicaid, Delaware Medicaid, Florida Medicaid

All insurance plans · All medications

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