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

South Dakota Medicaid Coverage for GLP-1

South Dakota Medicaid GLP-1 Prescriptions in 2025

South Dakota Medicaid paid for 15,521 GLP-1 prescriptions in 2025, 0.1% of the 11.26 million paid nationally and number 49 of 51 (50 states and DC). It reimbursed pharmacies $15.4 million before manufacturer rebates, about $990 per prescription, and the most-filled product was Mounjaro. 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, South Dakota Medicaid GLP-1 prescriptions went from 3,038 to 15,521, 5.1 times the 2021 count. From 2024 to 2025 the count rose by 3,811.

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 Dakota Employee Plan and Insurer GLP-1 Rules

We have not read the South Dakotastate 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 Dakotainsurer 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 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 South Dakota. The rest record a state count without naming the states, so confirm South Dakota with the program at intake before you pay.

What Programs' Own Pages Say About South Dakota

7 of the 8 programs whose own pages name the states they serve include South Dakota: SnagRx, Strut Health, MangoRx, Wellorithm, MEDGm, TelosRx, Trimi. Willow does not list South Dakota. Pages read November 9, 2026. This is what each seller states about availability, not a licensing check.

Trimi's state table lists South Dakota as served through the Arora Health network. Visit format there: Online evaluation through the Arora Health network. The telehealth law it cites for South Dakota is SDCL § 34-52-3 and § 34-52-5. 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 Dakota

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 Dakota, 2024

South Dakota prescribers wrote 56,047 Medicare Part D GLP-1 claims in 2024, number 46 of 51, with $64.4 million in gross drug cost before rebates. Ozempic led with 28,912 claims for 4,931 enrollees. Wegovy had 515 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 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 South Dakota and its neighbors in the Midwest 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 Dakota

Frequently Asked Questions — South Dakota