Does District of Columbia Medicaid cover Wegovy and Zepbound in 2026?
No, not for obesity alone. As of Oct 23, 2026, District of Columbia Medicaid does not cover Wegovy or Zepbound when used only for weight loss.
Not covered for obesity alone Checked Oct 23, 2026 PDL in effect Sep 18, 2026
Coverage of GLP-1 drugs for obesity alone under District of Columbia’s fee-for-service Medicaid drug rules, as the state publishes them. The plan decides each request.
District of Columbia’s rule
In plain words
Not covered for obesity alone
Anti-obesity drugs are an excluded class.
Source
State Medicaid pharmacy vendor (Prime Therapeutics): DC Medicaid PDL, eff. Sep 18, 2026 (opens in new tab). Checked Oct 23, 2026.
Federal Medicaid law lets a state exclude these drugs only “when used for anorexia, weight loss, or weight gain”; their use for type 2 diabetes is not on that list, though a state may require prior authorization. Social Security Act §1927(d)(1)(A) and (d)(2)(A), 42 U.S.C. 1396r-8(d) (opens in new tab).
What changed
No change recorded since we began tracking state Medicaid rules on Oct 23, 2026.
Questions this page answers
Does District of Columbia Medicaid cover Wegovy and Zepbound for weight loss?
No, not for obesity alone. As of Oct 23, 2026, District of Columbia Medicaid does not cover Wegovy or Zepbound when used only for weight loss. Anti-obesity drugs are an excluded class.
Has District of Columbia’s rule changed recently?
No change recorded since we began tracking state Medicaid rules on Oct 23, 2026. The current source is dated Sep 18, 2026.
Where does this information come from?
From District of Columbia Medicaid’s pharmacy vendor (Prime Therapeutics): DC Medicaid PDL, eff. Sep 18, 2026, read on Oct 23, 2026. Federal Medicaid law lets a state exclude these drugs only “when used for anorexia, weight loss, or weight gain”; their use for type 2 diabetes is not on that list, though a state may require prior authorization.
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