West Virginia Medicaid coverage for Zepbound (Weight Loss)

Agents used for the purpose of weight loss are typically a benefit exclusion and not covered by West Virginia Medicaid. Coverage of Zepbound will only be considered for a diagnosis of OSA in adults with obesity.

Policy note: West Virginia Medicaid explicitly excludes weight loss as a covered indication for Zepbound. Coverage is only considered for OSA in adults with obesity.

Policy effective July 1, 2025 · verified June 3, 2026 · source: download