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Minnesota Medicaid

Does Minnesota Medicaid cover Wegovy for Liver Disease (MASH)?

Yes. Minnesota Medicaid covers Wegovy for liver disease (MASH) 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: Wegovy for Liver Disease (MASH) (1 plan type)

Applies to Medicaid plans.

Covered with requirements

Qualification pathways

You can qualify through any one of these.

MASH — Initial and Renewal (up to 12 months)

All of:

  • Requested drug is FDA approved for MASH
  • Patient meets age limit per FDA-approved label
  • Documentation of initiation of or ongoing reduced calorie diet OR ongoing care of a registered dietitian nutritionist
  • Documentation of initiation of or ongoing regimen of increased physical activity unless medically contraindicated by co-morbidity
  • No contraindications (disease state or current therapy) unless prescriber documents benefits outweigh risks
  • No concurrent use of any other GLP-1 receptor agonist
  • Diagnosis of noncirrhotic metabolic dysfunction-associated steatohepatitis (MASH)
  • Moderate to advanced liver fibrosis consistent with stages F2 to F3 fibrosis
  • Requested agent is prescribed by or in consultation with a gastroenterologist or hepatologist

Documentation to bring

  • Documentation that requested drug is FDA approved for MASH indication
  • Documentation of diagnosis of noncirrhotic MASH
  • Documentation of moderate to advanced liver fibrosis consistent with stages F2-F3
  • Documentation of initiation of or ongoing reduced calorie diet OR documentation of ongoing care of a registered dietitian nutritionist
  • Documentation of initiation of or ongoing regimen of increased physical activity (or medical contraindication)
  • Documentation that no concurrent GLP-1 receptor agonist is being used
  • Documentation of no contraindications (or prescriber attestation that benefits outweigh risks)
  • Prescription by or documentation of consultation with a gastroenterologist or hepatologist

Quantity limits

  • per FDA-approved label — Per FDA-approved label quantity limits

Approval and renewal

  • Initial approval: 12 months
  • Renewal: every 12 months
  • Renewal: The Weight Management Agents page states initial and renewal approval is up to 12 months; no specific continuation threshold beyond re-meeting criteria is stated for the MASH indication.

Not covered when

  • No concurrent use of any other GLP-1 receptor agonist
  • Cirrhotic MASH is excluded (noncirrhotic only)
  • No contraindications (disease state or current therapy) unless prescriber documents benefits outweigh risks

Policy note: This MASH criterion is published on the Weight Management Agents PA criteria page (May 2026 version) by Minnesota Medicaid (MHCP). The policy specifies F2-F3 fibrosis (moderate to advanced) but does not detail the confirmation methodology (e.g., FIB-4, FibroScan, biopsy). Gastroenterologist or hepatologist prescribing or consultation is required. The policy explicitly excludes cirrhotic MASH ('noncirrhotic').

Policy effective March 1, 2023 · verified June 4, 2026 · source: Policy 372 · View policy document (PDF)

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Questions people ask
Does Minnesota Medicaid cover Wegovy?
Yes. Minnesota Medicaid covers Wegovy for liver disease (MASH) with prior authorization. Other policy requirements and your plan's benefits also apply.
How long does a Wegovy approval last with Minnesota Medicaid?
Liver Disease (MASH) — Applies to Medicaid plans. Initial approval: 12 months. Renewal: every 12 months.
What does Minnesota Medicaid require to renew Wegovy?
Liver Disease (MASH) — Applies to Medicaid plans. The Weight Management Agents page states initial and renewal approval is up to 12 months; no specific continuation threshold beyond re-meeting criteria is stated for the MASH indication.
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.

Wegovy under other plans: BCBS Minnesota, Alabama Medicaid, California Medicaid, Clover Health, Colorado Medicaid, Connecticut Medicaid, Delaware Medicaid, EmblemHealth

All insurance plans · All medications

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