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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

Last Updated: 08/03/2026