Does Hawaii Medicaid cover Wegovy and Zepbound in 2026?
No, not for obesity alone. As of Oct 23, 2026, Hawaii Medicaid does not cover Wegovy or Zepbound when used only for weight loss.
Not covered for obesity alone Checked Oct 23, 2026 Testimony dated Feb 4, 2026
Coverage of GLP-1 drugs for obesity alone under Hawaii’s fee-for-service Medicaid drug rules, as the state publishes them. The plan decides each request.
Hawaii’s rule
In plain words
Not covered for obesity alone
DHS testified that its program does not cover these drugs for obesity; the bills to add coverage were not enacted.
Per DHS testimony to the Legislature, Feb 4, 2026 (the Med-QUEST site could not be opened).
Source
Hawaii DHS written testimony on HB 2456, Feb 4, 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 Hawaii Medicaid cover Wegovy and Zepbound for weight loss?
No, not for obesity alone. As of Oct 23, 2026, Hawaii Medicaid does not cover Wegovy or Zepbound when used only for weight loss. DHS testified that its program does not cover these drugs for obesity; the bills to add coverage were not enacted.
Has Hawaii’s rule changed recently?
No change recorded since we began tracking state Medicaid rules on Oct 23, 2026. The current source is dated Feb 4, 2026.
Where does this information come from?
From Hawaii DHS written testimony on HB 2456, Feb 4, 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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