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Largest Medicaid managed care organization — ~28M members
Centene operates Medicaid managed care in 32 states plus Medicare Advantage and ACA marketplace plans. Brand names include Ambetter (ACA), WellCare (Medicare), and various state Medicaid brands. Coverage follows state Medicaid formulary policies.
Centene Medicaid coverage of weight-loss GLP-1s tracks state Medicaid policy. In the 13 weight-loss-covered states (CA, CT, DE, MA, MI, MN, MO, NJ, NY, OR, PA, RI, VA), Centene managed care plans follow state formulary. Diabetes coverage standard nationwide. Ambetter ACA plans more restrictive — many exclude weight-loss as cost control.
Sample copays based on a representative Centene plan. Your specific plan may differ.
| Product | Status | Sample copay |
|---|---|---|
| Hims & Hers Weight Loss | Not covered | — |
| Mounjaro T2D diagnosis | Covered | $3/mo |
| Ozempic T2D diagnosis. Nominal Medicaid copay. | Covered | $3/mo |
| Zepbound Same as Wegovy + OSA+obesity expansion in some states | Varies | — |
| Wegovy Covered in 13 states (matches state Medicaid policy). Ambetter ACA plans typically exclude. | Varies | — |
Look up your specific plan ID for plan-level accuracy. Open formulary tool
Coverage shown is a sample plan and not a guarantee for your specific Centene plan. Always verify with member services or your benefits administrator. We update this page when formulary changes are detected — last verified May 16, 2026.
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