Kansas Medicaid and anti-obesity medications
The takeaway
Kansas Medicaid covers anti-obesity drugs from a BMI of 27 with one condition and from age 12, and seven older agents need no prior authorization.
Reading the state documents
Most state criteria in this tier exist to say no. Kansas wrote its to say how. Its anti-obesity criteria cover liraglutide, semaglutide and tirzepatide for obesity itself, start adults at a BMI of 30 — or 27 with one weight-related condition — and reach adolescents at the 95th percentile. Seven older weight drugs skip prior authorization entirely.
What changed, and what the document says
Seven agents with no authorization required
CoveredThe older anti-obesity drugs are simply covered. This is the sentence a Kansas reader should take to a prescriber first.
“Benzphetamine, Diethylpropion, Phendimetrazine, Naltrexone/Bupropion, Orlistat, Phentermine, and Phentermine/Topiramate”
Kansas Department of Health and Environment, Division of Health Care Finance — Kansas Medical Assistance Program — Initial Approval: September 14, 2007; Revised Dates: August 14, 2024; January 17, 2024; July 19, 2023; October 19, 2022; July 21, 2021; April 21, 2021; January 11, 2017; July 8, 2015; April 8, 2015; January 14, 2015; September 2014; April 9, 2014; October 10, 2012; June 15, 2011; Minor updates 6/1/2025
Said in the document's own footnote
CoveredThe exemption is explicit rather than inferred from an absence on a list.
“are covered products in this class, but do not require PA.”
Kansas Department of Health and Environment, Division of Health Care Finance — Kansas Medical Assistance Program — Initial Approval: September 14, 2007; Revised Dates: August 14, 2024; January 17, 2024; July 19, 2023; October 19, 2022; July 21, 2021; April 21, 2021; January 11, 2017; July 8, 2015; April 8, 2015; January 14, 2015; September 2014; April 9, 2014; October 10, 2012; June 15, 2011; Minor updates 6/1/2025
Twenty-eight weeks for the two newest drugs
Conditions applyZepbound and Wegovy are carved out of the general renewal rules and get their own approval window, each with its own start date.
“LENGTH OF APPROVAL: For Zepbound (as of 4/1/24) and Wegovy (as of 6/1/25): 28 weeks”
Kansas Department of Health and Environment, Division of Health Care Finance — Kansas Medical Assistance Program — Initial Approval: September 14, 2007; Revised Dates: August 14, 2024; January 17, 2024; July 19, 2023; October 19, 2022; July 21, 2021; April 21, 2021; January 11, 2017; July 8, 2015; April 8, 2015; January 14, 2015; September 2014; April 9, 2014; October 10, 2012; June 15, 2011; Minor updates 6/1/2025
Then six months, then a year
CoveredRenewals lengthen as you stay on treatment rather than repeating the same short cycle.
“LENGTH OF RENEWAL APPROVAL: 6 months for the first renewal, then 12 months thereafter”
Kansas Department of Health and Environment, Division of Health Care Finance — Kansas Medical Assistance Program — Initial Approval: September 14, 2007; Revised Dates: August 14, 2024; January 17, 2024; July 19, 2023; October 19, 2022; July 21, 2021; April 21, 2021; January 11, 2017; July 8, 2015; April 8, 2015; January 14, 2015; September 2014; April 9, 2014; October 10, 2012; June 15, 2011; Minor updates 6/1/2025
Five percent at twelve weeks
Conditions applyThe renewal test is a number, and it is measured early. Missing it is how coverage stops.
“The patient has lost a total of 5% of pretreatment weight at 12 weeks and maintains the 5%”
Kansas Department of Health and Environment, Division of Health Care Finance — Kansas Medical Assistance Program — Initial Approval: September 14, 2007; Revised Dates: August 14, 2024; January 17, 2024; July 19, 2023; October 19, 2022; July 21, 2021; April 21, 2021; January 11, 2017; July 8, 2015; April 8, 2015; January 14, 2015; September 2014; April 9, 2014; October 10, 2012; June 15, 2011; Minor updates 6/1/2025
A weight and a BMI on the request
Conditions applyThe prescriber supplies the baseline, so there is no approval without a recorded starting point.
“Prescriber must provide the patient's baseline weight and BMI.”
Kansas Department of Health and Environment, Division of Health Care Finance — Kansas Medical Assistance Program — Initial Approval: September 14, 2007; Revised Dates: August 14, 2024; January 17, 2024; July 19, 2023; October 19, 2022; July 21, 2021; April 21, 2021; January 11, 2017; July 8, 2015; April 8, 2015; January 14, 2015; September 2014; April 9, 2014; October 10, 2012; June 15, 2011; Minor updates 6/1/2025
Diet and behavior alongside the drug
Conditions applyKansas writes the lifestyle requirement into the treatment plan rather than leaving it to the label.
“The treatment plan includes comprehensive adjunct lifestyle interventions”
Kansas Department of Health and Environment, Division of Health Care Finance — Kansas Medical Assistance Program — Initial Approval: September 14, 2007; Revised Dates: August 14, 2024; January 17, 2024; July 19, 2023; October 19, 2022; July 21, 2021; April 21, 2021; January 11, 2017; July 8, 2015; April 8, 2015; January 14, 2015; September 2014; April 9, 2014; October 10, 2012; June 15, 2011; Minor updates 6/1/2025
Samples do not count as history
Conditions applyA detail worth knowing before a step-therapy argument: free starter doses will not satisfy a prior-trial requirement.
“Professional samples are not allowed to establish patient history of medication usage.”
Kansas Department of Health and Environment, Division of Health Care Finance — Kansas Medical Assistance Program — Initial Approval: September 14, 2007; Revised Dates: August 14, 2024; January 17, 2024; July 19, 2023; October 19, 2022; July 21, 2021; April 21, 2021; January 11, 2017; July 8, 2015; April 8, 2015; January 14, 2015; September 2014; April 9, 2014; October 10, 2012; June 15, 2011; Minor updates 6/1/2025
Telehealth in Kansas
- Enhance MDPartnerBMinor gapSee Enhance MD pricing (opens in a new tab)No verified comparable monthly GLP-1 medication price.
Price details
- See the review for plan prices and full terms.
- Sprout HealthPartnerBMinor gapSee Sprout Health pricing (opens in a new tab)No verified comparable monthly GLP-1 medication price.
Price details
- See the review for plan prices and full terms.
- Gala HealthPartnerCCaveatSee Gala Health pricing (opens in a new tab)$1,299a month, medication onlybrand Ozempic (semaglutide), cash priceAdditional fees not verified.
Price details
- No separate monthly fee was found in the pages reviewed. Other charges may apply.
- Brand-name Ozempic, quoted as a cash price. Gala says insurance may reduce it and does not publish what it would reduce it to.
Some providers pay us a commission when you sign up through our links, at no extra cost to you.
Which of these companies serve Kansas?
Of the 387 companies we grade, 34 publish a list of the states they are licensed in. We checked 251 more and found no such list on any page we read; 102 we have not checked either way.
20 of those lists name Kansas: Gala Health, Care Bare Rx, TelePeptide, Wisp, WePeptideRx, Ways2Well, TeleClinic, Tyde Wellness, ZYP Medical, The Virtual NP, Trimi, Enhance MD, HumeCare+, Rx.com, Mojoon, Peak Wellness, Sprout Health, MEDvidi, Mixx Health & Wellness, and Optimized Health. That is a licensure claim each company makes about itself, not something we checked with a state board.
A published list is a starting point, not a guarantee. If availability decides your choice, ask before you pay and get the answer in writing.
Coverage decides what you pay before cash does. See how state Medicaid programs cover GLP-1s and what a prior-authorization denial turns on.
Sources
Source dates below are the dates printed on the documents.
- Criteria for Prior Authorization — Anti-Obesity Medications (AOMs) — Kansas Department of Health and Environment, Division of Health Care Finance — Kansas Medical Assistance Program. The document prints an approval date and its whole revision list, not a single date — reproduced in full because the newest line alone would hide that the criteria predate every GLP-1 on them: Initial Approval: September 14, 2007; Revised Dates: August 14, 2024; January 17, 2024; July 19, 2023; October 19, 2022; July 21, 2021; April 21, 2021; January 11, 2017; July 8, 2015; April 8, 2015; January 14, 2015; September 2014; April 9, 2014; October 10, 2012; June 15, 2011; Minor updates 6/1/2025.
Nothing on this page is medical advice, and nobody here is a clinician. Coverage rules change; check the linked document before you rely on it.
If you're paying cash instead
These providers list Kansas in their service area. Partners appear first. These are medication prices, not confirmed monthly totals. Other fees may apply; check each provider’s terms before choosing.
Some providers pay us a commission when you sign up through our links, at no extra cost to you.
| Provider | Monthly price and terms | Go to the provider |
|---|---|---|
Enhance MDBMinor gap | No verified comparable monthly GLP-1 medication price. See the review for plan prices and full terms. | View pricing at Enhance MD (opens in a new tab)Partner |
Sprout HealthBMinor gap | No verified comparable monthly GLP-1 medication price. See the review for plan prices and full terms. | View pricing at Sprout Health (opens in a new tab)Partner |
Gala HealthCCaveat | $1,299 a month, medication only brand Ozempic (semaglutide), cash price Brand-name Ozempic, quoted as a cash price. Gala says insurance may reduce it and does not publish what it would reduce it to. Additional fees not verified. Price details
| View pricing at Gala Health (opens in a new tab)Partner |
HumeCare+CCaveat | $249Signup price a month, medication only compounded semaglutide, six-month plan $179 the first month, $249 a month after; the checkout totals the six months at $1,424. The card shows the later price only once the plan is selected. Additional fees not verified. Price details
| View pricing at HumeCare+ (opens in a new tab)Partner |
TeleClinicAVerified | $79 a month, medication only compounded semaglutide Billed monthly, same price at every vial strength, and the product page says the rate is locked for the life of the membership. Additional fees not verified. Price details
| View pricing at TeleClinic (opens in a new tab) |
TelePeptideAVerified | $229 a month, medication only compounded semaglutide Dissolvable tablet, month-to-month. TelePeptide states on the same page that it does not sell branded GLP-1s. Additional fees not verified. Price details
| View pricing at TelePeptide (opens in a new tab) |
Care Bare RxBMinor gap | $199 a month, medication only compounded tirzepatide Both compounded drugs are quoted at the same starting figure, on one line that also puts brand names on them. Additional fees not verified. Price details
| View pricing at Care Bare Rx (opens in a new tab) |
MEDvidiBMinor gap | No verified comparable monthly GLP-1 medication price. Charged per visit rather than every month, so it is not in the figure above: $195 for weight loss introductory consultation, $159 for weight loss follow-up consultation, $249 for introductory and follow-up consultation package. See the review for plan prices and full terms. | View pricing at MEDvidi (opens in a new tab) |
Our grading method and how we verify a price explain what those letters mean and where these figures came from.