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Washington Medicaid

Does Washington Medicaid cover Wegovy for Weight Loss?

No. Washington Medicaid's policies on file exclude Wegovy for weight loss on Medicaid plans.

Policy document

  • Medicaid: Not covered. Semaglutide injection or tablet (Wegovy) is not covered by Apple Health for weight loss in accordance with ...

Earliest policy review June 4, 2026. How we verify · Check your exact plan · Medicaid card names in Washington

Full requirements: Wegovy for Weight Loss (1 plan type)

Applies to Medicaid plans.

Not covered

Semaglutide injection or tablet (Wegovy) is not covered by Apple Health for weight loss in accordance with WAC 182-530-2100(1)(b)(i) and SEC. 1927 [42 U.S.C. 1396r-8](d)(2)(A).

Policy note: Weight loss is explicitly non-covered under Apple Health (Washington Medicaid) per state regulation WAC 182-530-2100(1)(b)(i) and federal statute 42 U.S.C. 1396r-8(d)(2)(A), which excludes agents used for weight gain or loss from Medicaid coverage. Both injection and tablet formulations are excluded for this indication.

Policy effective February 1, 2026 · verified June 4, 2026 · source: Semaglutide · View policy document (PDF)

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If weight loss isn't covered on your plan

A prior authorization can't override a benefit exclusion. Ask Washington Medicaid about a formulary exception.

Questions people ask
Does Washington Medicaid cover Wegovy?
No. Washington Medicaid's policies on file exclude Wegovy for weight loss on Medicaid plans.
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.

Card and program names on file in Washington

These names map to Washington Medicaid, including older names and spelling variants. This is not a list of plans currently accepting members.

Also under Washington Medicaid: Mounjaro, Ozempic, Zepbound

Wegovy under other plans: Kaiser Permanente Northwest, Molina Healthcare, Premera, Regence, Alabama Medicaid, California Medicaid, Clover Health, Colorado Medicaid

All insurance plans · All medications

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