Does Louisiana Medicaid cover Mounjaro?

Quick answer · Type 2 Diabetes

Louisiana Medicaid covers Mounjaro for type 2 diabetes with prior authorization on Medicaid.

The card and program names below are mapped to Louisiana Medicaid in our records. Coverage depends on the reason for treatment and the requirements in the policy.

Policy last verified June 2, 2026. Policy effective November 15, 2024. Source: MMA_and_POS_GLP_and_A1C_NOV_2024_10-11-24_Criteria.pdf. How we verify this data.

Card and program names on file in Louisiana

Select a name to read the Louisiana Medicaid policy for Mounjaro. These are names we recognize, including older names and spelling variants; this is not a list of plans currently accepting members.

Don't see your card name? Check your card or call the pharmacy-benefit number on your card. If you also have Medicare, confirm which plan handles this prescription.

Mounjaro for Type 2 Diabetes

Medicaid

Covered with requirements

What you need to qualify

  • A1C of 6.5% or higher
  • Lab results confirming eligibility

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
  • To renew, the plan looks for 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_A1C_NOV_2024_10-11-24_Criteria.pdf

Full Louisiana Medicaid coverage page for Mounjaro

Other medications under Louisiana Medicaid

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This page summarizes written Medicaid policies on file. It is not a guarantee of coverage or medical advice. Confirm your current benefits and prior-authorization requirements with your plan.