Weight Loss Drugs Covered By Medicaid
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Adults and one in six children and adolescents are obese.
Weight loss drugs covered by medicaid. Criteria for coverage of surgery costs. Drugs used to promote weight loss drugs used to promote hair growth drugs used for cosmetic purposes contact lens products halazepam prazepam. Whether you re new to medicare or exploring other coverage our plans offer flexible options to fit all needs and lifestyles.
In order for medicaid to cover the cost of your surgery and the associated surgeon visits you must meet the requirements below. Health plans have a spotty history paying for fda approved weight loss drugs and the affordable care act doesn t require their coverage specifically. Medical letter on drugs and therapeutics 57 1462.
Data sources include ibm watson micromedex updated 2 nov 2020 cerner multum updated 2 nov 2020 ashp updated 23 oct 2020. Al medicaid excludes coverage of drugs used for anorexia weight loss or weight gain other than those specified by the alabama medicaid agency as above. Diet drugs and surgery for weight loss 2015.
The question will medicaid pay for weight loss drugs is answered in the august 2010 report medicaid fee for service treatment of obesity intervention pdf. Pursuant to 13csr 70 20 030 drugs covered by medicaid drugs falling outside the definition of a covered outpatient drug as defined in section 1927 k 2 k 3 and k 4 of. For children enrolled in medicaid the early and periodic screening diagnostic and treatment epsdt.
Part of the reluctance by medicare and private insurers to cover weight loss drugs stems from serious safety. Approximately one in three u s. Still things are starting to slowly change for the better kyle says.
In many cases states have included coverage for these medications. Organized by state this research. This material is provided for educational purposes only and is not intended for medical advice diagnosis or treatment.
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