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Washington Medicaid

Does Washington Medicaid cover Zepbound for Weight Loss?

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

Policy document

  • Medicaid: Not covered. Tirzepatide (Zepbound®) is not covered by Apple Health for weight loss in accordance with WAC 182-530-2100(...

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

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

Applies to Medicaid plans.

Not covered

Tirzepatide (Zepbound®) 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: Explicitly excluded from coverage for the weight loss indication under Washington State Medicaid (Apple Health) per WAC 182-530-2100(1)(b)(i) and federal Medicaid drug exclusion statute 42 U.S.C. 1396r–8(d)(2)(A).

Policy effective May 1, 2025 · verified June 4, 2026 · source: Tirzepatide · 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 Zepbound?
No. Washington Medicaid's policies on file exclude Zepbound 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, Wegovy

Zepbound under other plans: Kaiser Permanente Northwest, Molina Healthcare, Premera, Regence, Alabama Medicaid, California Medicaid, Colorado Medicaid, Connecticut 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.