The coverage and price record
Thirteen states cover it.
Finding out whether yours is one takes an afternoon. Thirteen state Medicaid programs cover GLP-1s for obesity under fee for service, three of them changed the rules on January 1, and a dozen telehealth companies advertise a monthly price that turns out to be a membership, a compounded vial, or both.
Source: KFF. Checked August 23, 2026
We publish information. We do not prescribe, we do not sell medication, and nothing here is medical advice.
Where the record stands
August 26, 2026- 23/51
- states verified
- 14/25
- providers audited
- 3
- drugs tracked
- 6
- reference only
Anything we have not checked renders as not verified, never as a guess. Somebody makes a $500-a-month decision on these rows.
Providers, audited
Every directory in this category ranks providers. We check them: LegitScript status, which pharmacy dispenses, whether the price shows before the intake form, and whether you can cancel without a phone call.
See the auditstates, one grid
Thirteen state Medicaid programs cover GLP-1s for obesity. Three changed the rules on January 1. We read the formulary, link to it, and mark what we have not read.
Open the gridCash routes, priced
Manufacturer direct, telehealth membership, savings card, or cash at the counter. Every route priced, re-checked quarterly, with the source next to the number.
See the pricesThe difference
Eleven directories rank providers. None of them verify one.
A ranked list is easy to write and worth nothing, because the thing a reader actually needs to know is whether the company is what it says it is. So the audit is the product. Five checks, on the provider's own pages, on a stated date.
Where a check has not been done, the row says so. It never says "yes" because the provider's marketing said so.
Read the method in full-
01
Dispensing pharmacy
Who physically fills it, whether they compound it or dispense a manufactured product, and whether they are licensed to. It decides what is legally in the vial.
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02
LegitScript certified
Certified or not, on the date we looked. It is the certification the ad platforms themselves check before they will run a healthcare advertiser.
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03
Price shown before intake
Whether the full monthly price is visible before you hand over a medical history, or only after.
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04
Cancel online
Whether you can stop a recurring charge yourself, or have to call during business hours to do it. No federal rule requires the easy version: the one that would have was struck down in 2025.
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05
Prescriber disclosed
Whether the clinician writing the prescription is named, or at least their licensing state is stated. A prescriber has to hold a license in the state you are physically in at the time of the consultation.
What changed
Formularies change on January 1
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south-carolina April 1, 2026
South Carolina announced the end of weight-loss coverage for January 1, 2026, but its own list did not change on that date. The January 1, 2026 edition still shows a weight management agents class with Wegovy preferred. The class first disappears in the April 1, 2026 edition, and no February or March edition was published.
Not re-read yet -
pennsylvania January 1, 2026
Pennsylvania ended coverage of GLP-1s for overweight and obesity on January 1, 2026, and added the class to the statewide preferred drug list. Obesity treatments that are not GLP-1s stay covered.
Not re-read yet -
north-carolina December 12, 2025
North Carolina stopped covering GLP-1s for obesity on October 1, 2025 and reinstated coverage on December 12, 2025, back to the criteria that applied on September 30, 2025.
Not re-read yet
Approved is not the same as available
The loudest compounds online are the ones the FDA has not approved. We cover them, because the question is real and almost everything else answering it is selling something. We do it as reference only: what the agency has actually decided, and what is still pending. No protocols, no vendors, no links.
See where each compound standsReconstitution calculator
Convert a vial strength and the water added into the mark on your syringe. Arithmetic only. It does not know what you were prescribed and it will never suggest a dose.
Open the calculator