Public record
Zepbound: the public record
Each table is computed from the named federal dataset as of its data date; the method is under each one.
Medicaid
Medicaid prescriptions for Zepbound by state
State Medicaid programmes paid for 1,721,606 Zepbound prescriptions in 2025, with $1.81B reimbursed before rebates. California reported the most (701,827), followed by Massachusetts (208,115) and Pennsylvania (207,261); 46 states and territories reported any.
| Measure | Value | Note |
|---|---|---|
| Prescriptions paid by Medicaid, 2025 | 1,721,606 | |
| Total reimbursed before rebates, 2025 | $1.81B | |
| States and territories reporting | 46 | with at least one count CMS did not suppress |
| California | 701,827 prescriptions | $744.2M reimbursed |
| Massachusetts | 208,115 prescriptions | $215.7M reimbursed |
| Pennsylvania | 207,261 prescriptions | $222.0M reimbursed |
| Michigan | 161,929 prescriptions | $168.1M reimbursed |
| Missouri | 125,387 prescriptions | $132.8M reimbursed |
How this was calculated
Matched each Medicaid product code to the FDA NDC Directory by labeler and product code, kept finished single-ingredient products, then summed prescriptions and reimbursement by state. National roll-up and suppressed rows dropped.
Zepbound only (brand-name tirzepatide), fee-for-service and managed care, 2025
Counts under 11 are suppressed by CMS and left out, so totals are a floor. Amounts are before rebates. Differences between states reflect programme size and coverage rules. Compounded products are not included.
Articles on Zepbound
- Does Cigna Cover Zepbound? Coverage Rules, Prior Authorization, and How to Appeal a Denial
- Zepbound Cost vs. Alternatives: How Tirzepatide Compares on Price and Efficacy
- Does Kaiser Permanente Cover Zepbound? Formulary, Prior Authorization, and Appeal Steps
- Does State Medicaid Cover Zepbound? A State-by-State Guide to Coverage, Prior Authorization, and Appeals
- Does TRICARE Cover Zepbound? Prior Authorization, Formulary Tier, and Appeal Steps
- Does UnitedHealthcare Cover Zepbound? Prior Authorization, Formulary Tier, and Appeal Steps