Meridian Medicaid Drug List Changes starting 8/1/2026
Dear Meridian Member,
Your health care and access to medications are a priority. On 8/1/2026, 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 8/1/2026.
Drug Name | Changes |
|---|---|
Loratadine softgel capsule [10mg] | Move to non-preferred Prior Authorization required |
Symlinpen (pramlintide acetate pen injector) [1500mcg/1.5mL, 2700mcg/2.7mL] | Removed from formulary (discontinued drug by manufacturer since 10/27/2025) |
Wegovy tablets (semaglutide weight management) [1.5mg, 4mg, 9mg, 25mg] | Added to formulary as preferred drug or non-preferred drug (depending on diagnosis) Prior authorization required Minimum age = 18 years old Quantity Limit = 1 tablet per day |
Skyrizi prefilled syringe (risankizumab-rzaa) [55mg/0.37mL] | Added to formulary as non-preferred Prior authorization required Specialty drug Quantity Limit = 1 syringe per 84 days |
Tryngolza autoinjector (olezarsen) [50mg/0.8mL] | Carve Out |
Fasenra autoinjector (benralizumab) [30mg/1mL] | Removed minimum age limit |
Hympavzi autoinjector (marstacimab-hncq) [75mg/0.5mL] | Carve Out |
Duloxetine enteric coated capsules [80mg, 90mg, 120mg] | Carve Out
|
Linzess capsules (linaclotide) [72mcg, 145mcg, 290mcg] | Prior Authorization required Minimum age updated to = 2 years old *Note: Existing users grandfathered indefinitely*
|
Lubiprostone capsules (generic for Amitiza) [8mcg, 24mcg] | Prior Authorization required *Note: Existing users grandfathered indefinitely*
|
Cefpodoxime Proxetil tablets [100mg, 200mg] | Moved from non-preferred to preferred |
Cardamyst Nasal Spray (etripamil) [70mg/spray] | Added to formulary as non-preferred Prior Authorization required Minimum age = 18 years old Quantity Limit = 2 devices per day (4 sprays per day) |
Relenza Diskhaler (zanamivir) [5mg/blister] | Moved from preferred to non-preferred Prior authorization required Quantity Limit = 20 blisters |
Bevespi Aerosphere inhaler (glycopyrrolate-formoterol fumarat) [9mg-4.8mcg/inhalation] | Move from preferred to non-preferred Prior authorization required *Note: Existing users grandfathered indefinitely*
|
Redemplo prefilled syringe (plozasiran) [25mg/0.5mL] | Added to formulary as preferred Prior Authorization required Minimum age=18 years old Quantity Limit = 0.5mL (1 syringe) per 84 days |
Alvesco inhaler (ciclesonide) [80mcg/inhalation, 160mcg/inhalation] | Move from preferred to non-preferred Prior authorization required Quantity Limit = 6 inhalers per 90 days *Note: Existing users grandfathered indefinitely* |
Oxycodone-acetaminophen oral solution [5mg-325mg/5mL] | Removed from formulary |
Xaciato vaginal gel (clindamycin phosphate) [2%] | Move from non-preferred to preferred Removed minimum age requirement |
Lasolex topical solution (clotrimazole) [1%] | Added to formulary as non-preferred Prior Authorization required
|
Terbinafine tablets (generic for Lamisil) [250mg] | New Quantity Limit of 1 tablet per day (previous quantity limit of 84 tablets per fill) |
Zafirlukast tablets and brand name Accolate tablets [10mg, 20mg] | New Quantity Limit of 2 tablets per day |
Alendronate sodium tablets [5mg] | Removed from formulary |
Elidel 1% cream (pimecrolimus) [1%] – brand name only | Brand name moved to non-preferred Generic remains preferred Both brand and generic remain Prior Authorization Required, Quantity Limit of 30 grams per 30 days, and Minimum Age=2 years old |
Zybic oral suspension (meloxicam) [7.5mg/5mL] | Added to formulary as non-preferred Prior Authorization required |
Theophylline extended-release ER tablets [100mg, 200mg] | Added to formulary as preferred |
Desloratadine oral solution [0.5mg/1mL] | Added to formulary as non-preferred Quantity Limit =10mL per day |
Beclomethasone Dipropionate Inhaler [40mcg, 80mcg] | Added to formulary as non-preferred Prior Authorization required
|
Rimantadine hydrochloride tablet [100mg] | Move from preferred to non-preferred Prior Authorization required |
Myqorzo tablet (aficamten) [5mg, 10mg, 15mg, 20mg] | Added to formulary as preferred Prior Authroization required Minimum Age=18 years old Quantity Limit = 1 tablet per day
|
Kirsty vial (insulin aspart-xjhz) [100unit/mL] | Updated to allow maintenance drug (up to 102 days supply per fill) |
Kirst pen injector (insulin aspart-xjhz) [100unit/mL] | Updated to allow maintenance drug (up to 102 days supply per fill) |
Clindesse vaginal cream (clindamycin) [2%] | Move from preferred to non-preferred Prior Authorization required |
Bryhali lotion (halobetasol propionate) [0.01%] | Removed from formulary |
Phospholine iodide eye drops (echothiophate iodide) [0.125%] | Removed from formulary |
Elfolate Plus, Foltanx tablets (L-methylfolate with Vitambin B6 & Vitamin B12) [3mg-35mg-2mg] | Removed from formulary |
Montelukast sodium tablet [10mg] | Added new Quantity Limit = 1 tablet per day |
Montelukast sodium granule packet [4mg] | Added new Quantity Limit = 1 packet per day |
Montelukast sodium chewable tablet [4mg, 5mg] | Added new Quantity Limit = 1 tablet per day |
Zelapar oral disintegrating tablet (selegiline) [1.25mg] | Removed from formulary |
Coxanto oral capsule (oxaprozin) & generic oxaprozin oral capsule [300mg] | Added to formulary as non-preferred Prior authorization required |
Xerese topical cream (acyclovir-hydrocortisone) [5%-1%] | Removed from formulary |
Jublia topical solution (efinaconazole) [10%] | Removed from formulary |
Cabtreo topical gel (adapalene-benzoyl peroxide-clindamycin) [0.15%-3.1%-1.2%] | Removed from formulary |
Dupixent autoinjector pen (dupilumab) [200mg/1.14mL, 300mg/2mL] | Removed minimum age requirement = 2 years old |
Cipro oral suspension (ciprofloxacin) [250mg/5mL, 500mg/5mL] | Updated to brand name preferred Generic ciprofloxacin suspension 250mg/5ml, 500mg/5ml require prior authorization |
Cefixime oral capsule [400mg] | Moved from preferred to non-preferred Prior Authorization required |
Cefixime oral tablet [400mg] | Added to formulary as non-preferred Prior Authorization required |
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