GLP-1 Coverage & Costs in North Dakota (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 North Dakota 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.
North Dakota Medicaid Coverage for GLP-1
Medicaid: not covered as of January 2026 (KFF)
KFF's map lists North Dakota as not covering GLP-1s for obesity under fee-for-service as of January 2026. KFF notes the state reported covering one or more weight-loss drugs, but no GLP-1s. 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 North Dakota:
- Telehealth programs: recorded compounded prices from $79/month on a monthly plan, where the program serves North Dakota
- 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)
North Dakota Medicaid GLP-1 Prescriptions in 2025
5,852
#50
$3.6 million
Liraglutide (generic)
North Dakota Medicaid paid for 5,852 GLP-1 prescriptions in 2025, 0.1% of the 11.26 million paid nationally and number 50 of 51 (50 states and DC). It reimbursed pharmacies $3.6 million before manufacturer rebates, about $614 per prescription, and the most-filled product was Liraglutide (generic). These counts include diabetes prescriptions, not only weight loss. Wegovy, Zepbound and Saxenda, the brands approved for chronic weight management, made up 0 of those prescriptions (0%). 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, North Dakota Medicaid GLP-1 prescriptions went from 4,204 to 5,852, 1.4 times the 2021 count. From 2024 to 2025 the count rose by 317.
4,204
5,368
6,473
5,535
5,852
| Product | ND Medicaid prescriptions, 2025 | Share |
|---|---|---|
| Liraglutide (generic) | 2,815 | 48.1% |
| Ozempic | 1,616 | 27.6% |
| Victoza | 1,343 | 22.9% |
| Mounjaro | 67 | 1.1% |
| Rybelsus | 11 | 0.2% |
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.
North Dakota Employee Plan and Insurer GLP-1 Rules
NDPERS group health plan
Does not cover GLP-1s for weight lossNorth Dakota's NDPERS says GLP-1s are only available for the treatment of diabetes, not for weight loss, per its 2026 health insurance RFP answers and its October 2025 board materials.
In its 2026 health insurance RFP question-and-answer document, NDPERS says GLP-1s are only available to treat diabetes.
“Does the NDPERS currently cover GLP1s for weight loss? GLP-1s are only available for the treatment of diabetes.”
Source: North Dakota Public Employees Retirement System. Read October 29, 2026.
The October 14, 2025 board book states the same while limiting diabetes GLP-1 fills to a 30-day supply.
“NDPERS does not cover GLP1 medication for weight loss”
Source: North Dakota Public Employees Retirement System. Read October 29, 2026.
Blue Cross Blue Shield of North Dakota
Covers with limitsBlue Cross Blue Shield of North Dakota removed weight-loss drug coverage, GLP-1s included, from fully insured non-grandfathered large group plans starting January 1, 2026 at plan anniversary. Self-funded employers choose whether to include these drugs.
BCBSND's August 7, 2025 announcement removes weight-loss drug coverage from fully insured non-grandfathered large group plans starting January 1, 2026 at plan anniversary.
“Fully Insured Non-Grandfathered Large Group Plans: Coverage for weight-loss drugs, including GLP-1s and oral medications, will be removed.”
Source: Blue Cross Blue Shield of North Dakota. Read October 29, 2026.
Under the same change, self-funded employers decide whether their plan includes these drugs.
“Self-Funded Plans: Clients will need to choose to include these weight-loss drugs with their plan.”
Source: Blue Cross Blue Shield of North Dakota. Read October 29, 2026.
Comparing self-pay programs in North Dakota?
2-minute quiz: filter by budget and medication preference.
Telehealth Programs to Check for North Dakota
We list 49 programs here. 21 are recorded as available in all 50 states. 7 more publish their own state list, summarized below for North Dakota. The rest record a state count without naming the states, so confirm North Dakota with the program at intake before you pay.
What Programs' Own Pages Say About North Dakota
7 of the 8 programs whose own pages name the states they serve include North Dakota: SnagRx, Strut Health, MangoRx, Wellorithm, MEDGm, TelosRx, Trimi. Willow does not list North Dakota. Pages read November 9, 2026. This is what each seller states about availability, not a licensing check.
| Program | North Dakota |
|---|---|
| Willow | Not served ND, per its page |
| SnagRx | Serves ND |
| Strut Health | Ships to ND |
| MangoRx | Ships to ND |
| Wellorithm | Serves ND |
| MEDGm | Serves ND |
| TelosRx | Serves ND |
| Trimi | Serves ND |
Trimi's state table lists North Dakota as served through the Arora Health network. Visit format there: Online evaluation through the Arora Health network. The telehealth law it cites for North Dakota is N.D. Cent. Code 43-17-44. 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 North Dakota
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 North Dakota, 2024
North Dakota prescribers wrote 53,339 Medicare Part D GLP-1 claims in 2024, number 47 of 51, with $61.5 million in gross drug cost before rebates. Ozempic led with 29,174 claims for 4,818 enrollees. Wegovy had 373 claims. Part D did not pay for weight loss alone in 2024, so these fills are for diabetes and other approved uses.
| Product | ND Part D claims | Enrollees |
|---|---|---|
| Ozempic | 29,174 | 4,818 |
| Mounjaro | 9,431 | 1,589 |
| Trulicity | 8,671 | 1,366 |
| Rybelsus | 3,002 | 605 |
| Victoza | 1,840 | Not given |
| Bydureon Bcise | 629 | 102 |
| Wegovy | 373 | 92 |
| Liraglutide | 219 | 81 |
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 North Dakota
The Bridge is national, so the rules are the same in North Dakota 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 North Dakota Compares to Other Midwest States
Medicaid coverage of GLP-1s for obesity is optional for states, so the answer differs by state. Here is how North Dakota and its neighbors in the Midwest are recorded:
| State | Medicaid and GLP-1s for obesity | Medicaid GLP-1 Rx, 2025 |
|---|---|---|
| North Dakota (this page) | Not covered | 5,852 |
| Illinois | Not covered | 288,470 |
| Indiana | Not covered | 190,013 |
| Iowa | Not covered | 88,518 |
| Kansas | Covered, January 2026 (KFF) | 50,850 |
| Michigan | Covered, January 2026 (KFF) | 607,982 |
| Minnesota | Covered, January 2026 (KFF) | 230,594 |
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 North Dakota
Commercial plans offer an internal appeal, then external review; North Dakota Medicaid enrollees can ask for a fair hearing. The denial letter names the deadlines.
How to Check Your Specific Plan in North Dakota
- North Dakota 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: NDPERS group health plan, does not cover glp-1s for weight loss per the documents cited above. Confirm with the plan before you fill a prescription.
- Insurers on record for North Dakota: Blue Cross Blue Shield of North Dakota. 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 North Dakota
Answer a few questions and we'll match you with the best GLP-1 program for your budget, insurance, and goals in North Dakota.
Frequently Asked Questions — North Dakota
Does North Dakota Medicaid cover GLP-1 medications for weight loss?
How many GLP-1 prescriptions did North Dakota Medicaid pay for in 2025?
How many Medicare Part D GLP-1 claims were there in North Dakota in 2024?
Does the North Dakota state employee health plan cover GLP-1s for weight loss?
What is the cheapest way to get GLP-1 medication in North Dakota?
Which online GLP-1 programs serve North Dakota?
Does Medicare cover GLP-1s in North Dakota?
Ready to start?
Compare the recorded costs, sources and evidence gaps for 52 listed providers. Confirm current terms with the provider before enrolling.