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As of January 2026, states with some Medicaid coverage include: Massachusetts (Zepbound preferred for adults), Minnesota, Mississippi, New York, North Carolina (reinstated Dec 2025), and Wisconsin

Heres a couple of tips on this

If you develop severe diarrhea, persistent vomiting, or signs of an allergic reaction within 48 hours, seek immediate medical attention

Tirzepatide (a GLP-1/GIP dual agonist) and oral GLP-1 formulations activate slightly different receptor pathways and produce different gastrointestinal response patterns in some patients

Well coordinate with your prescribing clinician to determine the safest timing