New Hampshire Medicaid

Does New Hampshire Medicaid cover Ozempic?

Quick answer · Type 2 Diabetes

New Hampshire Medicaid covers Ozempic for type 2 diabetes with prior authorization on Medicaid.

  • Medicaid: Covered with requirements. Age 18 and older

Last verified June 4, 2026. Policy effective June 5, 2025. Source: 9105e0b5-0a2e-48dc-d176-594ab9907de5. How we verify this data →

Check your card for your exact plan →

Ozempic for Type 2 Diabetes

What New Hampshire Medicaid requires, by plan type. Open this indication on its own page →

Medicaid

Covered with requirements

What you need to qualify

  • Age 18 and older

Qualification pathways

You can qualify through any one of these.

Initial approval for T2DM

All of:

  • Diagnosis of type 2 diabetes mellitus
  • Patient age supported by FDA-approved indication (adults)
  • Medication used as adjunct to diet and exercise
  • Trial of an oral antihyperglycemic

Documentation to bring

  • Documentation of type 2 diabetes mellitus diagnosis
  • Documentation of patient age consistent with FDA-approved indication
  • Documentation of prior trial of an oral antihyperglycemic agent

Approval and renewal

  • Initial approval: 12 months

Not covered when

  • Type 1 diabetes

Policy note: Non-preferred drugs on the Preferred Drug List (PDL) require additional prior authorization. The document does not explicitly address CV risk reduction or CKD indications under the PA criteria section; the table lists Ozempic for MACE risk reduction in T2DM with established CVD, but no separate criteria are established beyond the shared approval criteria. The approval criteria appear to apply uniformly to all GLP-1 agonists listed.

Policy effective June 5, 2025 · verified June 4, 2026 · source: 9105e0b5-0a2e-48dc-d176-594ab9907de5

Why Ozempic requests get denied by New Hampshire Medicaid

Based on what this policy asks for. Fix these before the first submission.

  1. Wrong brand for the diagnosis. Ozempic and Wegovy are the same molecule with different approved uses; a request for Ozempic under a diagnosis that matches Wegovy is routinely denied.

Frequently asked questions

Does New Hampshire Medicaid cover Ozempic?
New Hampshire Medicaid covers Ozempic for type 2 diabetes with prior authorization on Medicaid.
How long does a Ozempic approval last with New Hampshire Medicaid?
Initial approvals last 12 months.
How current is this information?
This page reflects New Hampshire Medicaid's written policy as of June 5, 2025, last verified against the source document on June 4, 2026.

Other medications under New Hampshire Medicaid

Ozempic coverage under other plans

All insurance plans · All medications

This page summarizes New Hampshire Medicaid's written prior-authorization policy. It is not a guarantee of coverage; plans vary by employer and benefit design. Verify with your plan before relying on it.