Does Maryland Medicaid cover Wegovy and Zepbound in 2026?
No, not for obesity alone. As of Oct 23, 2026, Maryland Medicaid does not cover Wegovy or Zepbound when used only for weight loss.
Not covered for obesity alone Checked Oct 23, 2026 Form dated Dec 2025
Coverage of GLP-1 drugs for obesity alone under Maryland’s fee-for-service Medicaid drug rules, as the state publishes them. The plan decides each request.
Maryland’s rule
In plain words
Not covered for obesity alone
Only heart-disease or MASH (Wegovy) and sleep apnea (Zepbound) routes.
Source
Maryland Medicaid Wegovy and Zepbound PA form (MDH 12/2025) (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.
Next steps
Where to go from here
Neighbouring states
Questions this page answers
Does Maryland Medicaid cover Wegovy and Zepbound for weight loss?
No, not for obesity alone. As of Oct 23, 2026, Maryland Medicaid does not cover Wegovy or Zepbound when used only for weight loss. Only heart-disease or MASH (Wegovy) and sleep apnea (Zepbound) routes.
Has Maryland’s rule changed recently?
No change recorded since we began tracking state Medicaid rules on Oct 23, 2026. The current source is dated Dec 2025.
Where does this information come from?
From Maryland Medicaid Wegovy and Zepbound PA form (MDH 12/2025), 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.
Embed or cite Maryland’s answer
Paste this where you want Maryland’s card: it links back here and names the source. Plain HTML, no script.
The data: Maryland as JSON or every state as CSV.
Kymata Health reads each state’s own Medicaid documents. See every state on the map.
Keep reading: GLP-1 weight loss
GLP-1 weight loss: every pageCheapest way to get a GLP-1 onlineBrowse all topics
- Previous in this topicDoes Maine Medicaid Cover Wegovy? (2026)No, not for obesity alone.
- Next in this topicDoes Massachusetts Medicaid Cover Wegovy? (2026)No, not since Jul 3, 2026.
GLP-1 dose schedulerGLP-1 cost, dose by doseAlso in: Online telehealth compared