Meridian Medicaid Drug List Changes starting 5/1/2026
Dear Meridian Member,
Your health care and access to medications are a priority. On 5/1/2026, there will be changes to the Michigan Meridian Medicaid drug list. The preferred drug list (also known as the formulary) is a list of medications covered by your plan.
THE FOLLOWING DRUGS WILL HAVE A CHANGE IN STATUS STARTING ON 5/1/2026.
Drug Name | Changes |
|---|---|
Enalapril oral solution [1mg/1mL] | Moved to preferred tier; Prior Authorization required |
Entresto (sacubitril-valsartan) oral tablets [24-26mg, 49-51mg, 97-103mg] | Removed Quantity Limits |
Sacubitril-valsartan oral tablets [24-26mg, 49-51mg, 97-103mg] | Removed Quantity Limits |
Entresto Sprinkle capsules (sacubitril-valsartan) [6-6mg, 15-16mg] | Removed Quantity Limits |
Irbesartan oral tablets [75mg, 150mg, 300mg] | Moved to preferred tier |
Irbesartan-hydrochlorothiazide oral tablets [150-12.5mg, 300-12.5mg] | Moved to preferred tier |
Arbli (losartan) oral suspension [10mg/1mL] | Added to formulary non-preferred tier; Prior Authorization required; Added Quantity Limits of 10mL per day |
Eliquis (apixaban) tablets for oral suspension [0.5mg] | Added to formulary non-preferred tier; Prior Authorization required; Added Quantity Limits of 1744 tablets per 102 days |
Eliquis (apixaban) sprinkle capsules [0.15mg] | Added to formulary non-preferred tier; Prior Authorization required; Added Quantity Limits of 218 sprinkle capsules per 102 days |
Econazole nitrate topical foam 1% | Added to formulary non-preferred tier; Prior Authorization required; Added Quantity Limits of 70 grams per 30 days; Added Age Limit 12 years and older
|
Brekiya (dihydroergotamine mesylate) auto-injector [1mg/1mL] | Added to formulary non-preferred tier; Prior Authorization required; Added Quantity Limits of 8mL per 30 days; Added Age limit 18 years and older |
Sdamlo (amlodipine) powder for oral solution [2.5mg, 5mg, 10mg] | Added to formulary non-preferred tier; Prior Authorization required |
Zurnai (nalmefene) autoinjector [1.5mg/0.5mL] | Carve-out to State of Michigan fee-for-service pharmacy benefit |
Dawnzera (donidalorsen) injection [80mg/0.8mL] | Carve-out to State of Michigan fee-for-service pharmacy benefit |
Sephience (sepiapterin) powder packet [250mg, 1000mg] | Carve-out to State of Michigan fee-for-service pharmacy benefit |
Nypozi (filgrastim-txid) prefilled syringe [300mcg/0.5mL , 480mcg/0.8mL] | Added to formulary non-preferred tier; Prior Authorization required |
Rhapsido (remibrutinib) oral tablet [25mg] | Added to formulary non-preferred tier; Prior Authorization required; Added Age Limit 18 years and older |
Starjemza (ustekinumab-hmny) subcutaneous injection [45mg/0.5mL vial, syringe] | Added to formulary non-preferred tier; Prior Authorization required; Added Quantity Limits 0.5mL per 84 days |
Starjemza (ustekinumab-hmny) subcutaneous injection [90mg/mL syringe] | Added to formulary non-preferred tier; Prior Authorization required; Added Quantity Limits 1mL per 84 days |
Starjemza (ustekinumab-hmny) intravenous injection [130mg/26mL vial] | Added to formulary non-preferred tier; Prior Authorization required; Added Quantity Limits 104mL per 365 days |
Kirsty (insulin aspart-xjhz) vial for injection [100units/mL] | Added to formulary non-preferred tier; Prior Authorization required; Added Quantity Limits 90mL per fill |
Kirsty (insulin aspart-xjhz) pen-injector [100units/mL] | Added to formulary non-preferred tier; Prior Authorization required; Added Quantity Limits 90mL per fill |
Brinsupri (brensocatib) oral tablet [10mg, 25mg] | Added to formulary non-preferred tier; Prior Authorization required; Added Quantity Limits 30 tablets per 30 days; Added Age Limit 12 years and older |
Vyscoxa (celecoxib) oral suspension [10mg/1mL] | Added to formulary non-preferred tier; Prior Authorization required; Added Quantity Limits 40mL per day |
Lurbiro (flurbiprofen) oral tablet [100mg] | Added to formulary non-preferred tier; Prior Authorization required; |
Orlynvah (sulopenem etzadroxil – probenecid) [500mg-500mg] | Added to formulary non-preferred tier; Prior Authorization required; Added Quantity Limits 10 tablets per 5 days |
Ticagrelor oral tablets [60mg, 90mg] | Moved from non-preferred tier to preferred tier; Removed Prior Authorization |
Brilinta (ticagrelor) oral tablets [60mg, 90mg] | Moved from preferred tier to non-preferred tier; Added Prior Authorization required |
Tonmya (cyclobenzaprine) sublingual tablets [2.8mg] | Added to formulary non-preferred tier; Prior Authorization required; Added Quantity Limits 2 tablets per day; Added Age Limit 18 years and older |
Relistor (methylnaltrexone) oral tablets [150mg] | Removed from formulary due to loss of Federal Medicaid Rebate status |
Relistor (methylnaltrexone) prefilled syringe and vial for injection [12mg/0.6mL , 8mg/0.4mL] | Removed from formulary due to loss of Federal Medicaid Rebate status |
Trulance (plecanatide) oral tablets [3mg] | Removed from formulary due to loss of Federal Medicaid Rebate status |
Beclomethasone dipropionate HFA inhaler [40mcg, 80mcg] | Added to formulary non-preferred tier; Prior Authorization required |
Halobetasol propionate lotion [0.05%] | Added to formulary non-preferred tier; Prior Authorization required |
Bimatoprost eye drops [0.01%] | Added to formulary non-preferred tier; Prior Authorization required |
Milnacipran oral tablets [12.5mg, 25mg, 50mg, 100mg, titration pack] | Added to formulary preferred tier |
Wegovy HD auto-injector pen [7.2mg/0.75mL] | Added to formulary non-preferred tier; Prior Authorization required; Added Quantity Limits 3mL per 28 days; Added Age Limit 18 years and older |
Neulasta (pegfilgrastim) vial for injection [4mg/0.4mL] | Added to formulary non-preferred tier; Prior Authorization required; Added Quantity Limits 0.4mL per 14 days; |
Ipratropium Bromide HFA inhaler [17mcg/act] | Added to formulary non-preferred tier; Prior Authorization required ; Added Quantity Limits of 6 inhalers per 90 days |
What are the next steps?
You can talk to your doctor to ask if this change impacts you. If there are new restrictions or your drug has been removed, there may be other medications you can take instead. There are two ways that you or your doctor can find other medications covered by Meridian:
- Look on our website at mimeridian.com. Under “Select Your Plan” choose Meridian Medicaid plan. Under “Benefits and Services” choose Pharmacy. Click on the link “Formulary Search” to search for a medication. The search tool shows covered medications with any restrictions that may apply.
- Call Member Services at 888-437-0606 (TTY: 711). Our phone lines are open 24 hours a day, seven days a week.
We are here to help.
Sincerely,
Meridian