Michigan Meridian Medicaid – Diabetic Supply Reference Guide (February 2026 Update)
Meridian has created a resource for providers which details coverage information for diabetic supplies available to Michigan Meridian Medicaid members. Please refer to the table below for information regarding diabetic supply products, available benefit types where diabetic supplies are covered, dispensing routes, and coverage restrictions. For questions specific to medical benefits or medical claims, please reach out to your provider representative or to Provider Services at 888-773-2647. For questions specific to pharmacy benefits or pharmacy claims, please call the pharmacy help desk at 866-984-6462.
Product: | Benefit Type: | Availability: | Additional Information |
|---|---|---|---|
Continuous Glucose Monitor (CGM) components including sensors, transmitters, receivers (Dexcom, Freestyle Libre, etc.) | Pharmacy or Medical | Pharmacy or DME | Prior authorization required under pharmacy benefits Prior authorization required under medical benefits |
Wearable Insulin Delivery System (Omnipod, V-Go) | Pharmacy or Medical | Pharmacy or DME | Prior authorization required under pharmacy benefits Prior authorization required under medical benefits |
Traditional Insulin Pumps (iLet, Medtronic, Tandem t:slim) | Medical | DME | Prior authorization required under medical benefits |
Blood Glucose Test Strips | Pharmacy or Medical | Pharmacy or DME | Preferred brand(pharmacy benefit): Accu-Chek Guide Prior authorization NOT required under pharmacy benefit Quantity Limit of 250 strips per 30 days For brands other than Accu-Chek Guide, prior authorization required under pharmacy benefit. Please submit documentation supporting medical necessity with PA requests supporting inability to use Accu-Chek Guide brand. |
Blood Glucose Glucometers | Pharmacy or Medical | Pharmacy or DME | Preferred brand (pharmacy benefit): Accu-Chek Guide Prior authorization NOT required under pharmacy benefit Quantity Limit of 1 meter per 365 days For brands other than Accu-Chek Guide, prior authorization required under pharmacy benefit. Please submit documentation supporting medical necessity with PA requests supporting inability to use Accu-Chek Guide brand. |
Lancets | Pharmacy or Medical | Pharmacy | Prior authorization NOT required under pharmacy benefits Many preferred brands under pharmacy benefits (including Accu-Chek, OneTouch, Freestyle, and others) Prior authorization NOT required under medical benefits |
Insulin Syringes & Pen Needles | Pharmacy or Medical | Pharmacy or DME | Preferred brand is Embecta syringes and pen needles (formerly BD brand).Applies to pharmacy benefit only. Prior authorization NOT required under pharmacy benefits for preferred products. PA required for other brands. Prior authorization NOT required under medical benefits |
Alcohol Prep Pads | Pharmacy or Medical | Pharmacy or DME | Prior authorization NOT required under pharmacy benefits Prior authorization NOT required under medical benefits |
Ketone Urine Test Strips | Pharmacy or Medical | Pharmacy or DME | Quantity Limit of 100 strips per 30 days (pharmacy benefit) Prior authorization NOT required under pharmacy benefits Prior authorization NOT required under medical benefits |
Protein Urine Test Strips | Medical | DME | Prior authorization NOT required under medical benefits |
Glucometer Control/Calibration Solutions | Pharmacy or Medical | Pharmacy or DME | Prior authorization NOT required under pharmacy benefits Prior authorization NOT required under medical benefits |
Prior authorization information and resources:
Pharmacy benefit prior authorization scan be initiated either to fax number 877-355-8070, or electronically completed online through Covermymeds.com
For blank prior authorization forms, pharmacy resources, and formulary information please visit our website’s provider pharmacy page
Medical benefit prior authorizations can be initiated either to fax number 833-341-2049, or electronically completed online through the provider portal
Medical benefit procedure codes (HCPCS codes) coverage status can be verified online through Meridian’s website with the Medicaid Pre-Auth Check Tool; under the section titled ‘Prior Authorization at a Glance’ enter the code of the service you would like to check and then click ‘Check preauth’