Foundayo on Medicaid: the savings card is barred and your state decides the rest
Medicaid bars you from the Foundayo savings card. Federal law closes every manufacturer card to a government plan. Eli Lilly publishes 4 cash prices for Foundayo by dose, according to GLP Chart, checked August 10, 2026. The cheapest of them is a starter dose you leave behind, so price the dose you expect to stay on.
Every route, cheapest first
| Route | What you pay | Who it is open to | Source |
|---|---|---|---|
| Strut Health, cheapest on our chart | from $149 a month | Anyone the program will prescribe for. That price buys compounded semaglutide, a pharmacy-made version that is not FDA-approved and is not Foundayo. | our reviewRead August 31, 2026 |
| Foundayo savings card | You do not qualify | Barred for Medicare, Medicaid, VA, TRICARE and all other federal or state government programs. | Foundayo savings cardRead August 10, 2026 |
| Eli Lilly cash price | By dose | Anyone with a prescription. Lilly sells Foundayo direct at foundayo.lilly.com, priced by dose: $149 a month at 0.8mg, $199 at 2.5mg, $299 at 5.5mg and 9mg, and $349 at 14.5mg and 17.2mg. The top two doses drop to $299 when you refill within 45 days of your last delivery. | Foundayo savings cardRead August 10, 2026 |
| Your state Medicaid | Depends on your state | Coverage for Foundayo is set state by state. Your state's page below carries its rule and the date we read the policy. | Medicaid.govRead August 10, 2026 |
A compounded product in this table is not FDA-approved. The FDA does not review it for safety, effectiveness or quality, and its formulation can differ from the approved drug. Confirm the active ingredient and the pharmacy with the prescriber.
Your state decides the rest
Each state page carries that state's rule, its BMI bar and the date we read the policy.
Medicaid GLP-1 rules by state
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
Frequently asked questions
Can I use the Foundayo savings card on Medicaid?
No. The card is barred for Medicare, Medicaid, VA, TRICARE and all other federal or state government programs, and there is no appeal.
What does Foundayo cost without insurance?
Lilly sells Foundayo direct at foundayo.lilly.com, priced by dose: $149 a month at 0.8mg, $199 at 2.5mg, $299 at 5.5mg and 9mg, and $349 at 14.5mg and 17.2mg. The top two doses drop to $299 when you refill within 45 days of your last delivery.
Can I stack a savings card and a pharmacy discount coupon?
No. You use the manufacturer card or a discount coupon on one fill, never both. For anyone with commercial insurance the card almost always wins.
GLP Chart is an independent comparison site, not a pharmacy and not a medical provider. Card and cash terms are read at the manufacturer's own page and dated. They can change on any day, so confirm yours before your next fill. Chart prices are checked every Monday.
