Does Washington Medicaid cover Wegovy and Zepbound in 2026?
No, not for obesity alone. As of Oct 23, 2026, Washington Medicaid does not cover Wegovy or Zepbound when used only for weight loss.
Not covered for obesity alone Checked Oct 23, 2026 Policy in effect Feb 1, 2026
Coverage of GLP-1 drugs for obesity alone under Washington’s fee-for-service Medicaid drug rules, as the state publishes them. The plan decides each request.
Washington’s rule
In plain words
Not covered for obesity alone
Not covered for weight loss (WAC 182-530-2100). Wegovy for heart disease or MASH.
Source
Apple Health policy 61.25.20.AA-4 (semaglutide), eff. 2/1/2026 (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.
Questions this page answers
Does Washington Medicaid cover Wegovy and Zepbound for weight loss?
No, not for obesity alone. As of Oct 23, 2026, Washington Medicaid does not cover Wegovy or Zepbound when used only for weight loss. Not covered for weight loss (WAC 182-530-2100). Wegovy for heart disease or MASH.
Has Washington’s rule changed recently?
No change recorded since we began tracking state Medicaid rules on Oct 23, 2026. The current source is dated Feb 1, 2026.
Where does this information come from?
From Apple Health policy 61.25.20.AA-4 (semaglutide), eff. 2/1/2026, 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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