Montana Medicaid and GLP-1s
Some states refuse these drugs in a criteria document. Montana simply never made a place for them. Its drug list has a GLP-1 class built entirely around diabetes, requiring six months on each of two preferred agents before a third, and no weight class at all. The rule behind that is in the program manual, in a list of what is not covered: drugs prescribed for weight reduction.
What changed, and what the document says
Four words in the non-covered list
Not coveredMontana states the exclusion by purpose in a bulleted list alongside fertility and cosmetic use. It names no drug.
“For weight reduction”
Montana Healthcare Programs, Montana Department of Public Health and Human Services — Updated 07/09/2026
Under a heading that asks the question
ContextThe list sits behind a collapsible section on the manual page; opening it is what publishes it, and a reader can.
“What Drugs and Pharmaceutical Supplies Are Not Covered?”
Montana Healthcare Programs, Montana Department of Public Health and Human Services — Updated 07/09/2026
Twelve months of step therapy on the diabetes side
Conditions applyMontana's GLP-1 class demands six months on each of two preferred agents, which is a year before a non-preferred one.
“Trial of 2 preferred agents for 6 months each required”
Montana Department of Public Health and Human Services — September 10, 2026
No obesity class on the list
Not coveredAll 143,488 characters of the September 2026 list were read. There is no anti-obesity category and none of the three weight-management brands appears.
“September 10, 2026”
Montana Department of Public Health and Human Services — September 10, 2026
The manual is current
ContextThe exclusion is not a leftover from an older manual — the page carries a 2026 update stamp of its own.
“Updated 07/09/2026”
Montana Healthcare Programs, Montana Department of Public Health and Human Services — Updated 07/09/2026
Which of these companies serve Montana?
Of the 242 companies we grade, 25 publish a list of the states they are licensed in. We checked 214 more and found no such list on any page we read; 3 we have not checked either way.
18 of those lists name Montana: Gala Health, Care Bare Rx, Vita Bella, TelePeptide, Levity, Wisp, WePeptideRx, Ways2Well, TeleClinic, Tyde Wellness, Willow, VevaRx, Trimi, Enhance MD, HumeCare+, Rx.com, Mojoon and Peak Wellness. 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.
Sources
Each document below was fetched and read on the date shown beside it, which is the date printed on the document — not always the date in its web address. All of them were read in September 2026, the same session as the rest of this page.
- Prescription Drug Program Manual — Montana Healthcare Programs, Montana Department of Public Health and Human Services. Update stamp printed beside the complete manual on the page; the page separately lists per-chapter revision dates: Updated 07/09/2026.
- Montana Healthcare Programs Preferred Drug List (PDL) — Montana Department of Public Health and Human Services. Printed bare under the title. ⛔ Its predecessors print "Revised <date>" in the same slot — the label changed, the position did not: September 10, 2026.
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
None of the above changes what a telehealth seller charges you. 1 of these 3 bills a fee every month on top of the medication, so the figure is the two added together. The other 2 say in the cell what we could capture and what we could not. Every number was read on the seller's own page; the adding up is ours.
Mochi Health, Nova MD and QuickMD pay us nothing — none of the 3 below does. The buttons run through our own redirect so we can count the click, and counting is all they do.
| Grade | Provider | What a month actually costs | The one thing that matters here | Go to the provider |
|---|---|---|---|---|
| BMinor gap | Mochi Health | $139a month, everything billed monthly$60 compounded semaglutide + $79 a month for membershipMandatory membership fee, billed separately from medication — Mochi's own line: "Medications and diagnostic services not included in membership subscription."Medication only — does not include Mochi's separate $79/mo membership fee below (first month $39).The lowest of the 3 medication prices we captured here | Compounded semaglutide at $60 and tirzepatide at $90, the lowest pair in our roster — the relevant comparison in a state whose list has no obesity category to appeal into. | See its prices at Mochi Health (opens in a new tab)Pays us nothing |
| BMinor gap | Nova MD | $109a month, medication onlycompounded semaglutide, twelve month planMedication only. We captured no separate monthly charge on the pages we read, which is what we found rather than proof that nothing else is billed.$1,308 billed annually.The lowest of the 8 medication prices we captured here | Compounded semaglutide at $175 monthly falling to $119 over six months, which is the shape of pricing that matters when there is no coverage to wait for. | See its prices at Nova MD (opens in a new tab)Pays us nothing |
| BMinor gap | QuickMD | No month-to-month medication price we could capture, so there is no monthly total to show.Charged per visit rather than every month, so it is not in the figure above: $99 for weight loss visit.The review says what else we found. | A flat $99 weight-loss visit, the cheapest way to get a prescription in a state where the benefit will not be paying for it. | See its prices at QuickMD (opens in a new tab)Pays us nothing |
Our grading method and how we verify a price explain what those letters mean and where these figures came from.