Does Mississippi Medicaid cover Ozempic?

Quick answer · Type 2 Diabetes

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

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

Policy last verified June 4, 2026. Policy effective March 1, 2026. Source: MS-Medicaid-PDL_March-2026_v1_Updated-02-26-2026.pdf. How we verify this data.

Card and program names on file in Mississippi

Select a name to read the Mississippi 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

  • Age 18 and older
  • Prior trial of 2 other GLP-1 medications (Trulicity, Byetta, and Victoza) for at least 84 days

Qualification pathways

You can qualify through any one of these.

Non-Preferred: Step therapy from preferred agents with T2DM diagnosis

All of:

  • Documented diagnosis of Type 2 Diabetes
  • No history of Saxenda or Wegovy in the past 30 days
  • 84 days of therapy with Trulicity in the past 6 months
  • 84 days of therapy with either preferred Byetta or Victoza in the past 6 months

Non-Preferred: Continuity of care with T2DM diagnosis

All of:

  • Documented diagnosis of Type 2 Diabetes
  • 84 days of therapy with the requested agent in the past 105 days

Documentation to bring

  • Documented diagnosis of Type 2 Diabetes
  • Documentation of no Saxenda or Wegovy use in the past 30 days (for step-therapy pathway)
  • Documentation of 84 days of Trulicity therapy in the past 6 months (for step-therapy pathway)
  • Documentation of 84 days of therapy with Byetta or Victoza in the past 6 months (for step-therapy pathway)
  • Documentation of 84 days of therapy with the requested agent in the past 105 days (for continuity pathway)

Not covered when

  • History of Saxenda or Wegovy in the past 30 days (for step-therapy pathway)
  • Concomitant use of a GLP-1 agonist and a DPP-4 agent requires clinical review

Policy note: Ozempic is listed as a non-preferred agent with minimum age of 18 years. Two distinct non-preferred qualification pathways exist: (1) step therapy through Trulicity + Byetta or Victoza for T2DM patients without recent Saxenda/Wegovy use, or (2) continuity of care (84 days of the requested agent in the past 105 days) with T2DM diagnosis. Concomitant use with a DPP-4 agent requires clinical review. The document does not address Ozempic for cv_risk_reduction or ckd indications.

Policy effective March 1, 2026 · verified June 4, 2026 · source: MS-Medicaid-PDL_March-2026_v1_Updated-02-26-2026.pdf

Full Mississippi Medicaid coverage page for Ozempic

Other medications under Mississippi 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.