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ADHD/anti-narcolepsy Anti-narcolepsy Viloxazine 61.40.00 61.35.40.AA Androgenic Agents Testosterone Replacement Therapy (TRT) 23.10.00 Anorexiants/Anti-Obesity GLP-1 Receptor Agonists - semaglutide GLP-1 Recep…
Read guide →GLP-1 (glucagon-like peptide-1) drugs were originally developed to help people with type 2 diabetes manage blood sugar levels but have gained widespread attention for their effectiveness as a treatment for obe…
Read guide →In this issue … All Providers Inpatient Admission and Observation Policy for New York State Medicaid Providers eMedNY Provider Training Videos Available New York State Medicaid Chronic Disease Self-Management …
Read guide →Lawmakers weigh cost concerns, clinical outcomes, and regulatory barriers as access to these medications evolves. Between 2022 and 2024, approximately 25 states implemented some form of taxpayer-funded coverag…
Read guide →Author Elizabeth (Izzy) Montgomery, MPA Policy Analyst Contact State Medicaid programs are increasingly providing coverage for weight-loss drugs, including glucagon-like peptide-1 (GLP-1) drugs, according to a…
Read guide →Faced with high demand for GLP-1 drugs, some American cities and states that previously covered the cost of the weight-loss medication for low-income residents and public employees have now started to restrict…
Read guide →Last reviewed: May 16, 2026 Last updated: May 16, 2026 Written by: Jay Hastings , CEO of PlexusDx Jay Hastings is the CEO of PlexusDx, a precision health company focused on genetic testing, blood biomarker ins…
Read guide →by [email protected] Glucagon-like peptide-1, known as GLP-1, is a hormone that the body naturally makes to regulate digestion, blood sugar, and appetite. For years, people with type 2 diabetes have relied …
Read guide →Medicaid consumers in Pennsylvania prescribed medication for the treatment of obesity may be able to get these medications covered if they meet certain criteria. Pennsylvania’s Medicaid program began covering …
Read guide →The STOP Obesity Alliance partnered with the Obesity Action Coalition to analyze how states are covering the treatment of obesity in their Medicaid programs. The review of Medicaid coverage included the elemen…
Read guide →This report was last updated Jan. 2, 2025. The growing popularity of GLP-1 receptor agonists—including Ozempic and Wegovy from Novo Nordisk, and Mounjaro and Zepbound from Eli Lilly—has added fuel to an alread…
Read guide →CareSource covers all medically necessary Medicaid-covered drugs at many pharmacies. CareSource also covers many commonly used over-the-counter (OTC) medications with a written prescription from your doctor. C…
Read guide →You're standing at the pharmacy counter, prescription in hand, wondering if your Medicaid will cover that Ozempic your doctor just prescribed. Whether Medicaid covers Ozempic depends on why you need it and whe…
Read guide →On November 6, President Donald Trump announced the GENErating cost Reductions fOr U.S. Medicaid (GENEROUS) model with pharmaceutical companies Eli Lilly and Novo Nordisk. The model extends GLP-1 coverage to M…
Read guide →Patients with low-income have limited access to weight-loss drugs through Medicaid. HealthDay News — Low-income patients’ access to blockbuster weight-loss drugs through Medicaid remains limited, a new KFF ana…
Read guide →Last reviewed: May 28, 2026 Last updated: May 28, 2026 Written by: Jay Hastings , CEO of PlexusDx Jay Hastings is the CEO of PlexusDx, a precision health company focused on genetic testing, blood biomarker ins…
Read guide →April 29, 2026 14 min read One of the most common questions patients ask their healthcare providers is, "Does Medicaid cover weight loss shots?" The answer is complicated. Medicaid coverage for weight loss med…
Read guide →Key Takeaways: Over the past six months, states have been proactive in their consideration — or reconsideration — of next steps pertaining to coverage of Glucagon-like Peptide (“GLP”)-1s weight loss medication…
Read guide →This bulletin applies to NC Medicaid Direct and NC Medicaid Managed Care. Given shortfalls in state funding, effective Oct. 1, 2025, NC Medicaid coverage for GLP-1s for the treatment of obesity, which is an op…
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