GLP-1 Providers in North Dakota (2026)

173 of the 238 sellers that publish a state list include North Dakota, the 40th-most of the 50 states and DC. 128 of them ship to all 50 states. Across the 144 with a regular monthly price, the middle figure is $172.50/mo.

North Dakota Medicaid does not pay for GLP-1 drugs prescribed only for weight loss. GLP-1s prescribed for type 2 diabetes are covered, with prior authorization.

Who Ships GLP-1s to North Dakota

1. RxPepsDirect $64/mo
2. Embody $79/mo
3. Lean Meds $79/mo

Lowest regular prices for North Dakota: RxPepsDirect at $64/mo, Embody at $79/mo and Lean Meds at $79/mo.

9 sellers that list 30 or more states leave North Dakota off, among them MEDVi, Sprout Health, Superpower, Enhance MD and Harmony Wellness Clinic.

Seller counts next door: Minnesota 180, Montana 179 and South Dakota 174.

Browse by medication

North Dakota Medicaid and GLP-1 Coverage

North Dakota Medicaid does not pay for GLP-1 drugs prescribed only for weight loss. GLP-1s prescribed for type 2 diabetes are covered, with prior authorization.

• Wegovy to cut heart attack and stroke risk: covered with prior authorization (a BMI of at least 27; age 55-74; no diabetes (A1c normal); BMI 27-35; prior heart attack or (prior stroke and peripheral artery disease); concurrent lipid-lowering and antiplatelet therapy; Ozempic 2 mg step-through).
• Wegovy for the liver disease MASH: covered with prior authorization (fibrosis stage F2, F3).
• Zepbound for obstructive sleep apnea: covered with prior authorization (an AHI of at least 15; a BMI of at least 30; a CPAP trial first).

In 2025, North Dakota Medicaid paid for at least 5,852 GLP-1 prescriptions, including 1,616 for Ozempic and at least 67 for Mounjaro, about $3.6 million before manufacturer rebates. Drugs labeled for weight loss made up 0% of that spending.

Medicaid rules checked May 2026. Prescription counts: CMS State Drug Utilization Data. Check your eligibility

Specialist Clinics and Obesity in North Dakota

North Dakota has 46 practices in the federal provider registry that list obesity medicine, endocrinology or bariatric care, 5.77 per 100,000 residents (48th of 51). By specialty: 23 bariatric and 23 endocrinology. About 36.8% of adults here had obesity in 2024 (CDC), the 13th-highest rate of the 50 states and DC. Measured against the median state, North Dakota has 1.59 times as much adult obesity per specialist practice.

Largest Cities in North Dakota

Frequently Asked Questions