Does Molina Marketplace Ohio cover Saxenda?
Molina Marketplace Ohio excludes Saxenda from coverage— an exception may be available with clinical justification.
This plan explicitly excludes this medication from coverage. An exception may be available.
Verbatim status from policy: Excluded
Last verified 2026-04-30.
Requirements
- Prior authorization
- Not required
- Step therapy
- Not required
Sources
- 2026 Clinical Practice Guidelines / Molina Clinical Policies Index
Molina Healthcare of Ohio (Medicaid) · Effective 2026-05-04
- MPBID: Bariatric Surgery: Benefit Interpretation Policy
Molina Healthcare, Inc. · Effective 2024-01-01 · vVersion 3.0; Policy Number: 0007
- Molina Healthcare of Ohio Medicaid Clinical Coverage Policies
Molina Healthcare of Ohio · Effective 2026-05-04 (Last updated date shown on page footer)
- Ohio Department of Medicaid Unified Preferred Drug List (UPDL) / Molina Healthcare Benefits Index
Molina Healthcare of Ohio / Ohio Department of Medicaid (ODM) / Gainwell Technologies (SPBM) · Effective 2026-04-01 · vVersion 8.0 (SPBM Medical Necessity Policy); UPDL effective 04-01-2026
- Weight Loss Program (Ohio Medicaid)
Molina Healthcare (Ohio Medicaid) · Effective 2023-10-01 (per newsletter/manual) · vMCP-091 (Pediatric); MCP-243; rev 10-2023
What to do next
Even when a plan says no, an exception or appeal is often possible — especially when there's a strong clinical case. Your prescriber can request a coverage determination.