New Medicaid Bulletin Articles as of Nov. 7

The NC Division of Health Benefits (DHB) has recently published new Medicaid Bulletin article:

• NC Medicaid Respiratory Syncytial Virus Guidelines for 2025-2026 - This guidance is based on products approved by the FDA and recommended by the CDC Advisory Committee on Immunization Practices.
• Influenza Vaccine and Reimbursement Guidelines for 2025-2026 for NC Medicaid - This guidance is based on the NC Immunization Program/Vaccines for Children guidelines.
• Updates to NC Medicaid Coverage for Wegovy and Zepbound for Clinical Indications Other than Weight Loss - Wegovy and Zepbound for indications other than weight loss to be covered based on the indications and usage criteria published in the FDA label, pending updated clinical criteria.

Providers are encouraged to review this information. All bulletin articles are available on DHB's Medicaid Bulletin webpage.