Does North Dakota Medicaid cover Wegovy and Zepbound in 2026?
No, not for obesity alone. As of Oct 23, 2026, North Dakota 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 Oct 1, 2026
Coverage of GLP-1 drugs for obesity alone under North Dakota’s fee-for-service Medicaid drug rules, as the state publishes them. The plan decides each request.
North Dakota’s rule
In plain words
Not covered for obesity alone
Covers phentermine, bupropion, naltrexone and topiramate for obesity, no GLP-1. Wegovy for heart risk or MASH.
Source
State Medicaid pharmacy vendor (Acentra Health): North Dakota Medicaid PDL v2026.7, eff. Oct 1, 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.
Next steps
Where to go from here
Neighbouring states
Questions this page answers
Does North Dakota Medicaid cover Wegovy and Zepbound for weight loss?
No, not for obesity alone. As of Oct 23, 2026, North Dakota Medicaid does not cover Wegovy or Zepbound when used only for weight loss. Covers phentermine, bupropion, naltrexone and topiramate for obesity, no GLP-1. Wegovy for heart risk or MASH.
Has North Dakota’s rule changed recently?
No change recorded since we began tracking state Medicaid rules on Oct 23, 2026. The current source is dated Oct 1, 2026.
Where does this information come from?
From North Dakota Medicaid’s pharmacy vendor (Acentra Health): North Dakota Medicaid PDL v2026.7, eff. Oct 1, 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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