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West Virginia Medicaid

Does West Virginia Medicaid cover Wegovy for Weight Loss?

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

Policy document

  • West Virginia Medicaid Medicaid prior authorization policy

    West Virginia Medicaid · PA policy · Medicaid

    Effective January 1, 2026. Verified June 3, 2026.

    View PDF Download Original insurer source
  • Medicaid: Not covered. Agents used for the purpose of weight loss are typically a benefit exclusion. Coverage of Wegovy will only ...

Earliest policy review June 3, 2026. How we verify · Check your exact plan

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

Applies to Medicaid plans.

Not covered

Agents used for the purpose of weight loss are typically a benefit exclusion. Coverage of Wegovy will only be considered for the secondary prevention of a cardiovascular event and/or a diagnosis of MASH.

Policy note: Weight loss as a standalone indication is explicitly excluded. Coverage of Wegovy is only considered for CV risk reduction (secondary prevention) and/or MASH.

Policy effective January 1, 2026 · verified June 3, 2026 · source: West Virginia Medicaid Medicaid prior authorization policy · 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 West Virginia Medicaid about a formulary exception.

Questions people ask
Does West Virginia Medicaid cover Wegovy?
No. West Virginia 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 3, 2026. Each policy's effective and verification dates appear with its requirements. Confirm current benefits with your plan.

Also under West Virginia Medicaid: Mounjaro, Ozempic, Zepbound

Wegovy under other plans: Highmark, Alabama Medicaid, California Medicaid, Clover Health, Colorado Medicaid, Connecticut Medicaid, Delaware Medicaid, EmblemHealth

All insurance plans · All medications

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