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Meridian Medicaid Drug List Changes starting 6/1/2026

Dear Meridian Member,

Your health care and access to medications are a priority. On 6/1/2026, 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 6/1/2026.

Drug Name

Changes

Amoxicillin-Clavulanate Potassium Extended Release tablets

(generic for Augmentin XR)

[1000mg-62.5mg 12hr SR]

Added to formulary; Preferred tier

Quantity Limit of 4 tablets per day

Azilsartan medoxomil tablets

(generic for Edarbi)

[40mg, 80mg]

Added to formulary; Non-Preferred tier

Prior Authorization required

 

Umeclidinium Ellipta 62.5mcg inhaler

(generic for Incruse Ellipta)

[62.5mcg per inhalation]

Added to formulary; Non-Preferred tier

Prior Authorization required

Quantity Limit of 3 inhalers per 90 days

Dapagliflozin-Saxagliptin tablets

(generic for Qtern)

[10mg-5mg]

Added to formulary; Non-Preferred tier

Prior Authorization required

 

Zurnai (nalmefene) autoinjector [1.5mg/0.5mL]

Non-formulary; Prior authorization required

[Removed from Carve-out to State of Michigan fee -for-service pharmacy benefit]

Zevtera (ceftobiprole medocaril) intravenous solution

[667mg vials]

Non-formulary; Prior authorization required

[Removed from Carve-out to State of Michigan fee -for-service pharmacy benefit]

Bysanti (milsaperidone) tablets

[1mg, 2mg, 4mg, 6mg, 8mg, 10mg, 12mg, and all strengths of titration packs]

Carve-out to State of Michigan fee-for-service pharmacy benefit

Idvynso (doravirine-islatravir) tablets

[100mg-0.25mg]

Carve-out to State of Michigan fee-for-service pharmacy benefit

Fesilty (fibrinogen) intravenous solution

[1 gram vials]

Carve-out to State of Michigan fee-for-service pharmacy benefit

 

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

Last Updated: 06/09/2026