GLP-1 Coverage & Costs in South Carolina (2026)

South Carolina Medicaid Coverage for GLP-1

South Carolina Medicaid GLP-1 Prescriptions in 2025

South Carolina Medicaid paid for 65,093 GLP-1 prescriptions in 2025, 0.6% of the 11.26 million paid nationally and number 31 of 51 (50 states and DC). It reimbursed pharmacies $64.9 million before manufacturer rebates, about $997 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 11,352 of those prescriptions (17.4%). 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, South Carolina Medicaid GLP-1 prescriptions went from 25,816 to 65,093, 2.5 times the 2021 count. From 2024 to 2025 the count rose by 6,685.

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.

South Carolina Employee Plan and Insurer GLP-1 Rules

We have not read the South Carolinastate 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.

We have no South Carolinainsurer 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.

Telehealth Programs to Check for South Carolina

We list 49 programs here. 21 are recorded as available in all 50 states. 7 more publish their own state list, summarized below for South Carolina. The rest record a state count without naming the states, so confirm South Carolina with the program at intake before you pay.

What Programs' Own Pages Say About South Carolina

8 of the 8 programs whose own pages name the states they serve include South Carolina: 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.

Trimi's state table lists South Carolina as served through the Arora Health network. Visit format there: Online evaluation through the Arora Health network. The telehealth law it cites for South Carolina is S.C. Code Ann. § 40-47-37(C) and § 40-47-113. That citation is Trimi's, not our legal reading. Trimi state table, read November 9, 2026.

Programs on Our List, in Published Order

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 South Carolina

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 South Carolina, 2024

South Carolina prescribers wrote 427,181 Medicare Part D GLP-1 claims in 2024, number 20 of 51, with $555.5 million in gross drug cost before rebates. Ozempic led with 199,460 claims for 40,217 enrollees. Wegovy had 3,195 claims. Part D did not pay for weight loss alone in 2024, so these fills are for diabetes and other approved uses.

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.

How South Carolina Compares to Other Southeast States

Medicaid coverage of GLP-1s for obesity is optional for states, so the answer differs by state. Here is how South Carolina and its neighbors in the Southeast are recorded:

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.

How to Check Your Specific Plan in South Carolina

Frequently Asked Questions — South Carolina