GLP-1 Coverage & Costs in Montana (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 Montana 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.
Montana Medicaid Coverage for GLP-1
Medicaid: not covered as of January 2026 (KFF)
KFF's map lists Montana 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 Montana:
- Telehealth programs: recorded compounded prices from $79/month on a monthly plan, where the program serves Montana
- 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)
Montana Medicaid GLP-1 Prescriptions in 2025
22,719
#47
$22.0 million
Ozempic
Montana Medicaid paid for 22,719 GLP-1 prescriptions in 2025, 0.2% of the 11.26 million paid nationally and number 47 of 51 (50 states and DC). It reimbursed pharmacies $22.0 million before manufacturer rebates, about $967 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 189 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, Montana Medicaid GLP-1 prescriptions went from 12,515 to 22,719, 1.8 times the 2021 count. From 2024 to 2025 the count rose by 377.
12,515
16,803
21,759
22,342
22,719
| Product | MT Medicaid prescriptions, 2025 | Share |
|---|---|---|
| Ozempic | 15,263 | 67.2% |
| Trulicity | 3,638 | 16% |
| Mounjaro | 2,868 | 12.6% |
| Victoza | 330 | 1.5% |
| Liraglutide (generic) | 258 | 1.1% |
| Rybelsus | 161 | 0.7% |
| Wegovy | 153 | 0.7% |
| Zepbound | 36 | 0.2% |
| Bydureon | 12 | 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.
Montana Employee Plan and Insurer GLP-1 Rules
We have not read the Montanastate employee health plan's own documents, so we do not state whether it covers GLP-1s for weight loss. State employees can ask their benefits office or check the plan's drug list.
Blue Cross and Blue Shield of Montana
Covers with limitsBlue Cross and Blue Shield of Montana treats GLP-1 weight-management coverage as an optional choice for employer groups. From November 1, 2026, self-funded groups with Prime Therapeutics that cover these drugs can set a $150 member cost share for up to a 30-day supply.
In a May 20, 2026 note for self-funded groups, Blue Cross and Blue Shield of Montana says GLP-1 weight-management coverage is optional for the plan.
“As with other GLP‑1s for weight management, plan coverage is optional with utilization management and metabolic health programs are available to drive safe and clinically appropriate use.”
Source: Blue Cross and Blue Shield of Montana. Read October 29, 2026.
An October 9, 2026 employer notice adds a $150 member cost-share option from November 1, 2026 for self-funded groups that cover these drugs.
“Beginning Nov. 1, 2026, self-funded groups with Prime Therapeutics® that cover GLP-1 weight-management drugs can elect a new, $150 member cost-share benefit.”
Source: Blue Cross and Blue Shield of Montana. Read October 29, 2026.
Comparing self-pay programs in Montana?
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Telehealth Programs to Check for Montana
We list 49 programs here. 21 are recorded as available in all 50 states. 7 more publish their own state list, summarized below for Montana. The rest record a state count without naming the states, so confirm Montana with the program at intake before you pay.
What Programs' Own Pages Say About Montana
8 of the 8 programs whose own pages name the states they serve include Montana: 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 | Montana |
|---|---|
| Willow | Serves MT |
| SnagRx | Serves MT |
| Strut Health | Ships to MT |
| MangoRx | Ships to MT |
| Wellorithm | Serves MT |
| MEDGm | Serves MT |
| TelosRx | Serves MT |
| Trimi | Serves MT |
Trimi's state table lists Montana as served through the Arora Health network. Visit format there: Online intake reviewed by a licensed provider; no in-person visit required. The telehealth law it cites for Montana is Mont. Admin. R. 24.156.813 (with Mont. Code Ann. 37-3-102(14)). 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 Montana
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 Montana, 2024
Montana prescribers wrote 58,251 Medicare Part D GLP-1 claims in 2024, number 45 of 51, with $68.2 million in gross drug cost before rebates. Ozempic led with 30,152 claims for 5,465 enrollees. Wegovy had 685 claims. Part D did not pay for weight loss alone in 2024, so these fills are for diabetes and other approved uses.
| Product | MT Part D claims | Enrollees |
|---|---|---|
| Ozempic | 30,152 | 5,465 |
| Trulicity | 11,833 | 2,107 |
| Mounjaro | 9,437 | 1,707 |
| Rybelsus | 2,782 | 637 |
| Victoza | 2,216 | Not given |
| Bydureon Bcise | 952 | 173 |
| Wegovy | 685 | 161 |
| Liraglutide | 168 | 63 |
| Byetta | 26 | 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 Montana
The Bridge is national, so the rules are the same in Montana 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 Montana Compares to Other Mountain West States
Medicaid coverage of GLP-1s for obesity is optional for states, so the answer differs by state. Here is how Montana and its neighbors in the Mountain West are recorded:
| State | Medicaid and GLP-1s for obesity | Medicaid GLP-1 Rx, 2025 |
|---|---|---|
| Montana (this page) | Not covered | 22,719 |
| Colorado | Not covered | 123,001 |
| Idaho | Not covered | 45,954 |
| Utah | Not established | 27,850 |
| Wyoming | Not covered | 2,315 |
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.
If Your Insurance Denies GLP-1 Coverage in Montana
Commercial plans offer an internal appeal, then external review; Montana Medicaid enrollees can ask for a fair hearing. The denial letter names the deadlines.
How to Check Your Specific Plan in Montana
- Montana 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: we have not read the plan's documents; ask the benefits office.
- Insurers on record for Montana: Blue Cross and Blue Shield of Montana. Each still depends on whether your employer bought the weight-loss benefit.
- 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 Montana
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Frequently Asked Questions — Montana
Does Montana Medicaid cover GLP-1 medications for weight loss?
How many GLP-1 prescriptions did Montana Medicaid pay for in 2025?
How many Medicare Part D GLP-1 claims were there in Montana in 2024?
What is the cheapest way to get GLP-1 medication in Montana?
Which online GLP-1 programs serve Montana?
Does Medicare cover GLP-1s in Montana?
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Compare the recorded costs, sources and evidence gaps for 52 listed providers. Confirm current terms with the provider before enrolling.