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Louisiana Medicaid

Does Louisiana Medicaid cover Ozempic?

Yes. Louisiana Medicaid covers Ozempic 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: Ozempic 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

Plus any one of:

  • A1C ≥ 6.5% obtained within the previous 6 months
  • A1C < 6.5% obtained within previous 6 months AND history of A1C ≥ 6.5% AND established cardiovascular disease (prior MI, prior stroke [ischemic or hemorrhagic], or peripheral arterial disease)

Documentation to bring

  • Diagnosis of type 2 diabetes mellitus
  • A1C lab result obtained within the previous 6 months (≥ 6.5%); OR A1C < 6.5% within 6 months plus documentation of historical A1C ≥ 6.5% plus documentation of established CVD (prior MI, prior stroke, or PAD)
  • Minimum age verification per POS Edits

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. Subsequent approval criteria only used if recipient previously obtained initial approval.

Not covered when

  • Type 1 diabetes

Policy note: Ozempic is specifically named as eligible for the lower A1C pathway (A1C < 6.5% with history of A1C ≥ 6.5%) when the recipient has established cardiovascular disease, alongside Trulicity and Victoza. If Ozempic is non-preferred on the PDL, additional step therapy through a preferred GLP-1 agent is required (failure, intolerance, contraindication, or no preferred product appropriate). Preferred vs. non-preferred status not specified in this document; see the Single PDL at ldh.la.gov for current status.

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 Ozempic?
Yes. Louisiana Medicaid covers Ozempic for type 2 diabetes with prior authorization. Other policy requirements and your plan's benefits also apply.
How long does a Ozempic 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 Ozempic?
Type 2 Diabetes — Applies to Medicaid plans. Prescriber attests that recipient is established on the medication with evidence of a positive response to therapy. Subsequent approval criteria only used if recipient previously obtained initial approval.
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: Mounjaro, Wegovy, Zepbound

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