Does Texas Medicaid cover Wegovy and Zepbound in 2026?
No, not for obesity alone. As of Oct 23, 2026, Texas Medicaid does not cover Wegovy or Zepbound when used only for weight loss.
Not covered for obesity alone Checked Oct 23, 2026 Criteria dated May 8, 2026
Coverage of GLP-1 drugs for obesity alone under Texas’s fee-for-service Medicaid drug rules, as the state publishes them. The plan decides each request.
Texas’s rule
In plain words
Not covered for obesity alone
No obesity-only route. Wegovy for heart risk or MASH, Zepbound for moderate to severe sleep apnea.
Source
State Medicaid pharmacy vendor (Acentra Health): Texas Medicaid clinical PA criteria (Acentra), Wegovy and Zepbound, May 8, 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 Texas Medicaid cover Wegovy and Zepbound for weight loss?
No, not for obesity alone. As of Oct 23, 2026, Texas Medicaid does not cover Wegovy or Zepbound when used only for weight loss. No obesity-only route. Wegovy for heart risk or MASH, Zepbound for moderate to severe sleep apnea.
Has Texas’s rule changed recently?
No change recorded since we began tracking state Medicaid rules on Oct 23, 2026. The current source is dated May 8, 2026.
Where does this information come from?
From Texas Medicaid’s pharmacy vendor (Acentra Health): Texas Medicaid clinical PA criteria (Acentra), Wegovy and Zepbound, May 8, 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.
Embed or cite Texas’s answer
Paste this where you want Texas’s card: it links back here and names the source. Plain HTML, no script.
The data: Texas 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 Tennessee Medicaid Cover Wegovy? (2026)Yes, with prior authorization.
- Next in this topicDoes Utah Medicaid Cover Wegovy? (2026)Not for new patients.
GLP-1 dose schedulerGLP-1 cost, dose by doseAlso in: Online telehealth compared