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Meridian Medicaid Drug List Changes starting 7/1/2026

Dear Meridian Member,

Your health care and access to medications are a priority. On 7/1/2026, 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 7/1/2026.

Drug Name

Changes

Sitagliptin tablet (generic for Januvia)

[25mg, 50mg, 100mg]

Generic added to formulary as non-preferred; Prior authorization required;

Quantity Limit of 1 tablet per day;

Note: Brand Name of this medication is preferred over generic

Sitagliptin+Metformin tablet (generic for Janumet)

[50mg+500mg, 50mg+1000mg]

Generic added to formulary as non-preferred; Prior authorization required;

Quantity Limit of 2 tablets per day;

Note: Brand Name of this medication is preferred over generic

Tofacitinib tablet extended-release (ER) (generic for Xeljanz XR)

[11mg ER , 22mg tablet]

Added to formulary as non-preferred;

Prior authorization required

Quantity Limit of 1 tablet per day;

 

Tofacitinib tablet (generic for Xeljanz)

[5mg, 10mg]

 

Added to formulary as non-preferred;

Prior authorization required

Quantity Limit of 2 tablets per day;

 

Tofacitinib oral solution (generic for Xeljanz)

[1mg/mL]

Added to formulary as non-preferred;

Prior authorization required

Quantity Limit of 10mL per day;

 

Macitentan tablet (generic for Opsumit)

[10mg]

Generic added to formulary as non-preferred;

Prior authorization (PA) required

Note: Brand Name of this medication is preferred over generic, and brand name Opsumit 10mg tablet also requires PA

Levemir vials & Levemir Flexpen (insulin detemir)

[100unit/mL vials, 100unit/mL pen]

Removed from Formulary

Note: Levemir products have been Obsolete and discontinued by the manufacturer for over 1 year

Byetta pen injector (exenatide)

[5mcg/dose, 10mcg/dose]

Removed from Formulary

Note: Byetta (brand name) products have been Obsolete and discontinued by the manufacturer for over 1 year

Lyvispah (baclofen granules packet)

[5mg, 10mg, 20mg]

Removed from Formulary

Note: Lyvispah products have been Obsolete and discontinued by the manufacturer for over 1 year

Altoprev (lovastatin sustained release [SR] 24-hour tablets)

[20mg, 40mg, 60mg]

Removed from Formulary

Note: Altoprev products have been Obsolete and discontinued by the manufacturer for over 1 year

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: 06/26/2026