GLP-1 Coverage & Costs in Hawaii (2026)
$79/month (Embody, compounded semaglutide, monthly plan) is the lowest monthly-plan price we have recorded among the programs on this page. Embody lists 48 states and our records do not name them, so confirm Hawaii at intake.
The lowest recorded compounded tirzepatide price is $129/month (Embody, monthly plan). Among programs recorded as available in all 50 states, the lowest is $139/month (AgelessRx, compounded semaglutide, monthly plan). 6 of the 49 programs listed have no recorded price. Recorded prices cover medication and known program fees, not a verified total.
Hawaii Medicaid Coverage for GLP-1
Medicaid: not covered as of January 2026 (KFF)
KFF's map lists Hawaii as not covering GLP-1s for obesity under fee-for-service as of January 2026. Rules and later changes are not on that map, so confirm with the state Medicaid agency or your plan.
- Source: KFF, Medicaid Coverage of and Spending on GLP-1s, Figure 1 (January 16, 2026). Read 2026-11-06.
Your Options in Hawaii:
- Telehealth programs: recorded compounded prices from $79/month on a monthly plan, where the program serves Hawaii
- Commercial or employer insurance: check your plan's drug list and prior authorization rules
- Medicare GLP-1 Bridge for eligible Part D enrollees (see below)
Hawaii Medicaid GLP-1 Prescriptions in 2025
30,455
#42
$33.8 million
Ozempic
Hawaii Medicaid paid for 30,455 GLP-1 prescriptions in 2025, 0.3% of the 11.26 million paid nationally and number 42 of 51 (50 states and DC). It reimbursed pharmacies $33.8 million before manufacturer rebates, about $1,111 per prescription, and the most-filled product was Ozempic. These counts include diabetes prescriptions, not only weight loss. Wegovy, Zepbound and Saxenda, the brands approved for chronic weight management, made up 244 of those prescriptions (0.8%). Wegovy and Zepbound also carry other approved uses, so this is an upper bound on weight-loss use, not a count of it.
From 2021 to 2025, Hawaii Medicaid GLP-1 prescriptions went from 15,734 to 30,455, 1.9 times the 2021 count. From 2024 to 2025 the count fell by 15,865.
15,734
20,957
36,066
46,320
30,455
| Product | HI Medicaid prescriptions, 2025 | Share |
|---|---|---|
| Ozempic | 21,687 | 71.2% |
| Mounjaro | 2,923 | 9.6% |
| Trulicity | 2,681 | 8.8% |
| Rybelsus | 1,693 | 5.6% |
| Liraglutide (generic) | 1,213 | 4% |
| Wegovy | 244 | 0.8% |
| Bydureon | 14 | under 0.1% |
Source: CMS State Drug Utilization Data, 2025 (updated July 13, 2026), fee-for-service and managed care, all four quarters, compiled in our network's PriceTracker GLP-1 state table (read October 4, 2026); 2021 to 2024 summed by us from CMS's own yearly datasets with the same method, read November 9, 2026. CMS hides rows under 11 prescriptions, so small counts are slightly low. CMS publishes no per-enrollee rate here, so a total reflects the size of the program as much as use.
Hawaii Employee Plan and Insurer GLP-1 Rules
Hawaii Employer-Union Health Benefits Trust Fund (EUTF) active employee plans
Covers with limitsHawaii's EUTF names Wegovy and Zepbound as weight-loss GLP-1s under its active employee plans and, from January 1, 2026, limits a first fill to 30 days. It also added a CVS Weight Management Program.
The 2026 Active Employee Reference Guide lists a 30-day initial fill limit on weight-loss GLP-1s, naming Wegovy and Zepbound, effective January 1, 2026.
“Added a 30-day initial fill limit on antidiabetic and weight loss GLP-1 medications under the EUTF active plans effective January 1, 2026. Antidiabetic GLP-1s include Ozempic, Mounjaro, Rybelsus, Trulicity, and Victoza. Weight loss GLP-1s include Wegovy and Zepbound.”
Source: Hawaii Employer-Union Health Benefits Trust Fund. Read October 29, 2026.
The same guide describes the new CVS Weight Management Program, open with or without medication and with no BMI requirement.
“This program is a voluntary program for members aged 18 and older, offering personalized support to help you achieve a healthier lifestyle, whether or not you use weight loss medication.”
Source: Hawaii Employer-Union Health Benefits Trust Fund. Read October 29, 2026.
We have no Hawaiiinsurer policy on record yet. Most commercial plans decide GLP-1 coverage plan by plan, so the employer's choice matters as much as the insurer.
Comparing self-pay programs in Hawaii?
2-minute quiz: filter by budget and medication preference.
Telehealth Programs to Check for Hawaii
We list 49 programs here. 21 are recorded as available in all 50 states. 7 more publish their own state list, summarized below for Hawaii. The rest record a state count without naming the states, so confirm Hawaii with the program at intake before you pay.
What Programs' Own Pages Say About Hawaii
8 of the 8 programs whose own pages name the states they serve include Hawaii: Willow, SnagRx, Strut Health, MangoRx, Wellorithm, MEDGm, TelosRx, Trimi. Pages read November 9, 2026. This is what each seller states about availability, not a licensing check.
| Program | Hawaii |
|---|---|
| Willow | Serves HI |
| SnagRx | Serves HI |
| Strut Health | Ships to HI |
| MangoRx | Ships to HI |
| Wellorithm | Serves HI |
| MEDGm | Serves HI |
| TelosRx | Serves HI |
| Trimi | Serves HI |
Trimi's state table lists Hawaii as served through the Arora Health network. Visit format there: Online evaluation through the Arora Health network. The telehealth law it cites for Hawaii is Haw. Rev. Stat. 453-1.3(e). That citation is Trimi's, not our legal reading. Trimi state table, read November 9, 2026.
Programs on Our List, in Published Order
Compounded GLP-1 care with one-month and prepaid plans
Personalized GLP-1 consultations with tailored prescriptions and ongoing physician support
Affordable compounded semaglutide from $119/mo with free shipping and health coaching
Personalized GLP-1 weight loss with licensed providers and nationwide coverage
45 more programs on our list: 19 recorded as available in all 50 states, 7 with a state list shown in the table above, and 19 with a state count but no published list we have read. Compare all of them side by side.
Estimated GLP-1 Costs in Hawaii
Telehealth (Compounded)
$79 to $399/moRecorded monthly-plan prices for compounded semaglutide and tirzepatide. Availability varies by program, so confirm your state at intake.
Wegovy
Brand prices with and without insurance.
Zepbound
List, LillyDirect and savings card prices.
No insurance
Self-pay GLP-1 options without coverage.
The compounded range is our recorded monthly-plan prices, the same in every state. Brand and insurance costs depend on the plan, so we link the pages that carry their sources. Compounded medications are not FDA-approved.
Medicare Part D GLP-1 Claims in Hawaii, 2024
Hawaii prescribers wrote 65,437 Medicare Part D GLP-1 claims in 2024, number 44 of 51, with $99.6 million in gross drug cost before rebates. Ozempic led with 31,907 claims for 6,850 enrollees. Wegovy had 569 claims. Part D did not pay for weight loss alone in 2024, so these fills are for diabetes and other approved uses.
| Product | HI Part D claims | Enrollees |
|---|---|---|
| Ozempic | 31,907 | 6,850 |
| Trulicity | 11,083 | 2,463 |
| Mounjaro | 9,737 | 2,058 |
| Rybelsus | 7,973 | 2,189 |
| Victoza | 2,177 | Not given |
| Liraglutide | 1,584 | 451 |
| Wegovy | 569 | 148 |
| Bydureon Bcise | 386 | 97 |
| Byetta | 21 | Not given |
Source: CMS Medicare Part D Prescribers by Geography and Drug, 2024 (updated May 21, 2026), state rows, read November 9, 2026. The state is the prescriber's. Claims include refills, and enrollees are not added across products because one person can fill two.
Medicare GLP-1 Bridge Program in Hawaii
The Bridge is national, so the rules are the same in Hawaii as everywhere: eligible Part D enrollees pay $50/month for Foundayo, Wegovy or Zepbound KwikPen, subject to BMI rules and exclusions. Medicare fact sheet.
$50/mo
July 1, 2026
Dec 31, 2027
How Hawaii Compares to Other Pacific States
Medicaid coverage of GLP-1s for obesity is optional for states, so the answer differs by state. Here is how Hawaii and its neighbors in the Pacific are recorded:
| State | Medicaid and GLP-1s for obesity | Medicaid GLP-1 Rx, 2025 |
|---|---|---|
| Hawaii (this page) | Not covered | 30,455 |
| Alaska | Not covered | 23,225 |
Our recorded telehealth prices are not state-specific: $79 to $399/month on monthly plans. Medicaid and marketplace coverage is what varies.
KFF counted 13 state Medicaid programs covering GLP-1s for obesity under fee-for-service as of January 2026. Managed care plans may differ. Later counts may be lower: The RX Index, an independent tracker, listed 11 in a July 10, 2026 snapshot and says that is not a current national count. Sources read November 6, 2026. Policies change, so confirm with your state Medicaid agency or plan.
GLP-1 Guides for Hawaii Cities
If Your Insurance Denies GLP-1 Coverage in Hawaii
Commercial plans offer an internal appeal, then external review; Hawaii Medicaid enrollees can ask for a fair hearing. The denial letter names the deadlines.
How to Check Your Specific Plan in Hawaii
- Hawaii Medicaid: Medicaid: not covered as of January 2026 (KFF). Ask your Medicaid plan for its drug list and prior authorization rules, or find the state agency on Medicaid.gov's state contacts.
- State employees: Hawaii Employer-Union Health Benefits Trust Fund (EUTF) active employee plans, covers with limits per the documents cited above. Confirm with the plan before you fill a prescription.
- Any other plan: call the number on your card and ask whether Wegovy or Zepbound is covered for weight loss, which tier it sits on, and what prior authorization needs. Get the answer in writing.
Find the Right GLP-1 Provider in Hawaii
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Frequently Asked Questions — Hawaii
Does Hawaii Medicaid cover GLP-1 medications for weight loss?
How many GLP-1 prescriptions did Hawaii Medicaid pay for in 2025?
How many Medicare Part D GLP-1 claims were there in Hawaii in 2024?
Does the Hawaii state employee health plan cover GLP-1s for weight loss?
What is the cheapest way to get GLP-1 medication in Hawaii?
Which online GLP-1 programs serve Hawaii?
Does Medicare cover GLP-1s in Hawaii?
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Compare the recorded costs, sources and evidence gaps for 52 listed providers. Confirm current terms with the provider before enrolling.