South Carolina Medicaid and GLP-1s
South Carolina added GLP-1s for weight management in November 2024 and took them out again on January 1, 2026. What makes this one unusual isn't the decision, it's how you'd find out: there's no bulletin. The record is two lines in a change log attached to the pharmacy provider manual.
What changed, and what the document says
Removed from the manual
Not coveredTwo entries in the change log, both dated 1/1/2026, both stripping GLP-1 language out of the pharmacy manual.
“Remove GLP1 language for weight loss”
South Carolina Department of Health and Human Services — Updated 07/01/26.
The second entry
Not coveredThe utilization-management section lost its GLP-1 language the same day.
“Remove GLP1 receptor Agonists language”
South Carolina Department of Health and Human Services — Updated 07/01/26.
How long it lasted
ContextThe same log shows the benefit going in on November 1, 2024. Fourteen months, start to finish.
“Added GLP-1 Receptor Agonists for weight management coverage”
South Carolina Department of Health and Human Services — Updated 07/01/26.
What the manual says now
Not coveredWeight control products are on the excluded list, with no exceptions written into it.
“The following is a listing of products excluded from Healthy Connections coverage. These items are considered non-covered, regardless of circumstance:”
South Carolina Department of Health and Human Services — JULY 1, 2026
What the state does not say
Conditions applyNeither document mentions diabetes, sleep apnea or cardiovascular use. Every other state on this site publishes what stays covered. South Carolina's pharmacy manual doesn't contain the string "GLP" at all, so we can't tell you.
“Weight control products”
South Carolina Department of Health and Human Services — JULY 1, 2026
Telehealth in South Carolina
- Sprout HealthPartnerBMinor gap$99 a monthSee Sprout Health pricing (opens in a new tab)
- TrimiPartnerBMinor gap$175 a monthSee Trimi pricing (opens in a new tab)
- Gala HealthPartnerCCaveat$179 a monthSee Gala Health pricing (opens in a new tab)
Some providers pay us a commission when you sign up through our links, at no extra cost to you.
What the state didn't publish
South Carolina's Medicaid agency published no bulletin, provider notice or web announcement about ending this coverage.
We looked at 344 documents to say that — every bulletin title listed in the agency's own communications archive, paged from the first page to the last.
The same scan, in the same run, found 121 titles containing "provider," 2 containing "pharmacy" and 1 containing "hospice" — so the scan can find things. Against the same 344 titles, the terms GLP, Wegovy, Zepbound, Saxenda, semaglutide, tirzepatide, liraglutide, obesity and weight returned zero.
Checked September 2026 against Communications — the agency's own bulletin archive, South Carolina Department of Health and Human Services.
Which of these companies serve South Carolina?
Of the 284 companies we grade, 28 publish a list of the states they are licensed in. We checked 250 more and found no such list on any page we read; 6 we have not checked either way.
15 of those lists name South Carolina: Gala Health, Care Bare Rx, Vita Bella, TelePeptide, WePeptideRx, Ways2Well, Tyde Wellness, Willow, VevaRx, Trimi, HumeCare+, Rx.com, Mojoon, Peak Wellness, and Sprout 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
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.
- Change Control Record — Pharmacy Services Provider Manual — South Carolina Department of Health and Human Services. the "Updated" stamp in the page-one header and the running footer, printed with the trailing period: Updated 07/01/26..
- Pharmacy Services Provider Manual — South Carolina Department of Health and Human Services. the date printed on the manual's cover: JULY 1, 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
These providers list South Carolina 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 |
|---|---|---|
Sprout HealthBMinor gap | $99 a month, medication onlycompounded semaglutide, twelve month planBilled $1,188 up front every twelve months. This is the figure the homepage leads with.Additional fees not verified.Price details
| View pricing at Sprout Health (opens in a new tab)Partner |
TrimiBMinor gap | $175 a month, medication onlycompounded semaglutide, billed monthlyMonth to month. $99 is the twelve-month rate, billed $1,188 upfront, and it's the only semaglutide figure on the homepage. Medication, supplies, provider access and shipping included. Monthly renewal is automatic; payment precedes provider review.Additional fees not verified.Price details
| View pricing at Trimi (opens in a new tab)Partner |
Gala HealthCCaveat | $179 a month, medication onlycompounded semaglutideThe product page states a yearly subscription. The homepage FAQ quotes $199 a month on a three-month plan, while the weight-loss overview advertises semaglutide from $129 without a term. A single-month price is not established.Additional fees not verified.Price details
| View pricing at Gala Health (opens in a new tab)Partner |
HumeCare+CCaveat | $199Signup price a month, medication onlycompounded semaglutide, annual plan$169 the first month, $199 a month after, $2,358 for the year, payable in up to 12 installments, per the checkout.Additional fees not verified.Price details
| View pricing at HumeCare+ (opens in a new tab)Partner |
WillowCCaveat | $299 a month, medication onlycompounded semaglutide injectionPrinted on the product page with no asterisk and no dose qualifier. The comparison page and the terms both add one.Additional fees not verified.Price details
| View pricing at Willow (opens in a new tab)Partner |
TelePeptideAVerified | $99 a month, medication onlycompounded sermorelinThe annual tier for the same sermorelin program, billed $1,188 upfront. It is the cheapest sermorelin rate on the chart and it requires a year.Additional fees not verified.Price details
| View pricing at TelePeptide (opens in a new tab) |
Care Bare RxBMinor gap | $199 a month, medication onlycompounded semaglutideNo plan term is attached to this figure anywhere we read it, which is unusual in this market. Care Bare Rx's own FAQ does say price varies by dose, so treat $199 as a floor rather than a fixed monthly charge.Additional fees not verified.Price details
| View pricing at Care Bare Rx (opens in a new tab) |
Peak WellnessBMinor gap | $199 a month, medication onlycompounded nad+One vial a month, month to month. The three- and six-month plans work out to $179 and $149 a month and are charged up front.Additional fees not verified.Price details
| View pricing at Peak Wellness (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.