Does Tennessee Medicaid cover Wegovy and Zepbound in 2026?

Yes, with prior authorization. As of Oct 23, 2026, Tennessee Medicaid covers GLP-1 drugs for obesity, under criteria such as BMI.

What this covers

Coverage of GLP-1 drugs for obesity alone under Tennessee’s fee-for-service Medicaid drug rules, as the state publishes them. The plan decides each request.

Tennessee’s rule

In plain words

Covered with prior authorization

Prior authorization and quantity limits. Wegovy and Zepbound preferred.

Source

State Medicaid pharmacy vendor (OptumRx): TennCare provider notice (OptumRx), PDL Jul 1, 2026. 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 Tennessee Medicaid cover Wegovy and Zepbound for weight loss?

Yes, with prior authorization. As of Oct 23, 2026, Tennessee Medicaid covers GLP-1 drugs for obesity, under criteria such as BMI. Prior authorization and quantity limits. Wegovy and Zepbound preferred.

Has Tennessee’s rule changed recently?

No change recorded since we began tracking state Medicaid rules on Oct 23, 2026. The current source is dated Jul 1, 2026.

Where does this information come from?

From Tennessee Medicaid’s pharmacy vendor (OptumRx): TennCare provider notice (OptumRx), PDL Jul 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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