Ozempic on Medicaid: the savings card is barred and your state decides the rest
Medicaid bars you from the Ozempic savings card. Federal law closes every manufacturer card to a government plan. Novo Nordisk publishes 5 cash prices for Ozempic 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 Ozempic. | our reviewRead August 31, 2026 |
| Ozempic savings card | You do not qualify | Barred for Medicare, Medicaid, VA, TRICARE and all other federal or state government programs. | NovoCare Ozempic savingsRead August 10, 2026 |
| Novo Nordisk cash price | By dose | Anyone with a prescription. The NovoCare self-pay pill is $149 a month at 1.5mg, $199 at 4mg and $299 at 9mg. The pen is $199 a month for a new patient's first 2 fills at 0.25mg and 0.5mg through December 31, 2026, then $349 a month at 0.25mg, 0.5mg and 1mg and $499 a month at 2mg. | NovoCare Ozempic savingsRead August 10, 2026 |
| Your state Medicaid | Depends on your state | Coverage for Ozempic 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 Ozempic 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 Ozempic cost without insurance?
The NovoCare self-pay pill is $149 a month at 1.5mg, $199 at 4mg and $299 at 9mg. The pen is $199 a month for a new patient's first 2 fills at 0.25mg and 0.5mg through December 31, 2026, then $349 a month at 0.25mg, 0.5mg and 1mg and $499 a month at 2mg.
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.
