Does Louisiana Medicaid cover Ozempic?

Quick answer · Type 2 Diabetes

Louisiana Medicaid covers Ozempic 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 Ozempic. 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.

Ozempic 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

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

Full Louisiana Medicaid coverage page for Ozempic

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.