MI Meridian Medicaid Insulin Syringe & Pen Needles Changes Effective 8/1/2025
Meridian would like to inform all prescribers and pharmacies that the coverage of certain insulin syringes and pen needle products are changing on 08/01/2025 for all members.
Effective on 08/01/2025, insulin syringes and pen needles other than Embecta (formerly known as B.D.) branded products will be removed from the formulary (list of covered medications).
Meridian would like to work with you to help transition the impacted members onto a formulary alternative. For Meridian Medicaid members, please ensure that prescriptions for insulin syringes and pen needle products are written and dispensed exclusively for the Embecta branded products going forward.
However, if a member requires continued therapy for a product that has been changed, please submit a prior authorization with appropriate clinical documentation. Prior authorizations can be submitted electronically on www.covermymeds.com by selecting from the menu options, or by fax to 877-355-8070. For fax requests, a blank Medication Prior Authorization Request Form can be found at https://www.mimeridian.com/providers/pharmacy.html .
Please refer to the table below for information regarding specific medication changes and alternative preferred insulin syringe and pen needle products.
If you have any questions, please call Meridian’s pharmacy department, at 866-984-6462.
Impacted Product (Product Brand names) | Change effective 08/01/2025 | Alternative Embecta Product | Alternative Covered NDCs as of 08/01/2025 |
|---|---|---|---|
Insulin Pen Needle 29 G X 10 MM (Techlite, Droplet) | Removed from formulary | Insulin Pen Needle 29 G X 12.7 MM (Embecta Pen Needle) | 83017088003, 83017820303 |
Insulin Pen Needle 29 G X 12 MM (1/2") (Unifine, Relion, Easy Touch, Carefine) | Removed from formulary | Insulin Pen Needle 29 G X 12.7 MM (Embecta Pen Needle) | 83017088003, 83017820303 |
Insulin Pen Needle 29 G X 12.7 MM (Ulticare, Litetouch, Ultiguard, Advocate, Trueplus) | Removed from formulary | Insulin Pen Needle 29 G X 12.7 MM (Embecta Pen Needle) | 83017088003, 83017820303 |
Insulin Pen Needle 30 G X 8 MM (1/3" or 5/16") (Novofine, Ulticare, Unifine, Droplet, Easy Touch, Comfort EZ, Sure Comfort, Carefine) | Removed from formulary | Insulin Pen Needle 30 G X 5 MM (1/5" or 3/16") (Embecta AutoshieldDuo) Insulin Pen Needle 31 G X 5 MM (3/16") (Embecta Ben Needle U/F) Insulin Pen Needle 31 G X 8 MM (1/3" or 5/16") (Embecta Ben Needle U/F) | 83017951503, 83017011903, 83017088203, 83017010903, 83017088103 |
Insulin Pen Needle 31 G X 4 MM (1/6") (Exel Comfort, Comfort EZ Pro, Comfort Touch, Quick Touch, AUM Safety, Raya Sure) | Removed from formulary | Insulin Pen Needle 30 G X 5 MM (1/5" or 3/16") (Embecta AutoshieldDuo) Insulin Pen Needle 31 G X 5 MM (3/16") (Embecta Ben Needle U/F) Insulin Pen Needle 31 G X 8 MM (1/3" or 5/16") (Embecta Ben Needle U/F) | 83017951503, 83017011903, 83017088203, 83017010903, 83017088103 |
Insulin Pen Needle 31 G X 5 MM (3/16") (Careone, Unifine, Leader, Ultiguard Safepack, Techlite, Ultilet, Easy Touch, Fifty50, Verifine, True Comfort, Caretouch, GNP, Advocate, Comfort EZ, Easy Comfort) | Removed from formulary | Insulin Pen Needle 30 G X 5 MM (1/5" or 3/16") (Embecta AutoshieldDuo) Insulin Pen Needle 31 G X 5 MM (3/16") (Embecta Ben Needle U/F) Insulin Pen Needle 31 G X 8 MM (1/3" or 5/16") (Embecta Ben Needle U/F) | 83017951503, 83017011903, 83017088203, 83017010903, 83017088103 |
Impacted Product (Product Brand names) | Change effective 08/01/2025 | Alternative Product | Alternative Covered NDCs as of 08/01/2025 |
Insulin Pen Needle 31 G X 6 MM (1/4" or 15/64") (Meijer, Kroger, Careone, Healthy Accents, Madicine Shoppe, Ulticare, Ultiguard, Exel Comfort, Droplet, Dropsafe, Easy Touch , Relion, Litetouch, True Comfort, Embrace, Comfort EZ, Advocate) | Removed from formulary | Insulin Pen Needle 30 G X 5 MM (1/5" or 3/16") (Embecta AutoshieldDuo) Insulin Pen Needle 31 G X 5 MM (3/16") (Embecta Ben Needle U/F) Insulin Pen Needle 31 G X 8 MM (1/3" or 5/16") (Embecta Ben Needle U/F) | 83017951503, 83017011903, 83017088203, 83017010903, 83017088103 |
Insulin Pen Needle 31 G X 8 MM (1/3" or 5/16") (Meijer, Kroger, Careone, Healthy Accents, Madicine Shoppe, Ulticare, Ultiguard, Exel Comfort, Droplet, Dropsafe, Easy Touch , Relion, Litetouch, True Comfort, Embrace, Comfort EZ, Advocate) | Removed from formulary | Insulin Pen Needle 31 G X 8 MM (1/3" or 5/16") (Embecta Ben Needle U/F) | 83017010903, 83017088103 |
Insulin Pen Needle 32 G X 4 MM (5/32") (Novofine, Careone, Leader, Drug Mart, Kroger, Unifine, Preferred Plus, Ulticare, Ultiguard, GNP, Techlite, Ultilet, Clickfine, Relion, Droplet, Fifty50, True Comfort, Comfort EZ) | Removed from formulary | Insulin Pen Needle 32 G X 4 MM (5/32") (Embecta Pen Needle Nano, Embecta Pen needle Nano 2nd Gen) | 83017012203, 83017055003, 83017057403, 83017088303 |
Insulin Pen Needle 32 G X 5 MM (1/5" or 3/16") (Novotwist, Droplet, Easy Touch, True Comfort, Droplet, Pure Comfort, Caretouch, Ultracare, Comfort Touch, AUM, Carefine, Comfort EZ) | Removed from formulary | Insulin Pen Needle 32 G X 4 MM (5/32") (Embecta Pen Needle Nano, Embecta Pen needle Nano 2nd Gen) Insulin Pen Needle 32 G X 6 MM (1/4") (Embecta Pen Needle Ultrafine) | 83017012203, 83017055003, 83017057403, 83017088303, 83017074903 |
Insulin Pen Needle 32 G X 6 MM (1/4")(Novofine, Ultiguard, GNP, Ulticare, Techlite, Goodsense, Unifine, Droplet, Easy Touch, Unifine, Fifty50) | Removed from formulary | Insulin Pen Needle 32 G X 6 MM (1/4") (Embecta Pen Needle Ultrafine) | 83017074903 |
Impacted Product (Product Brand names) | Change effective 08/01/2025 | Alternative Product | Alternative Covered NDCs as of 08/01/2025 |
Insulin Pen Needle 32 G X 8 MM (Insupen, Techlite, Droplet, Pure Comfort, Comfort Touch, ComfortEZ) | Removed from formulary | Insulin Pen Needle 32 G X 6 MM (1/4") (Embecta Pen Needle Ultrafine) | 83017074903 |
Insulin Pen Needle 33 G X 4 MM (5/32") (Kroger, Careone, Unifine, 1st Tier, Insupen, Easy Comfort, True Comfort, Advocate) | Removed from formulary | Insulin Pen Needle 32 G X 6 MM (1/4") (Embecta Pen Needle Ultrafine) | 83017074903 |
Insulin Syringe U-100 1 ML - Various Sizes (Monoject, Easy Touch, Maxicomfort, Ulticare, Prodigy, Exel Comfort, Leader, GNP, Precision Sure-dose, Sure Comfort, Vanishpoint, Litetouch, Securesafe, Glucopor, Advocate, Fifty50, Kroger, Comfort EZ) | Removed from formulary | Insulin Syringe/Needle U-100 1 ML 27 x 5/8" Insulin Syringe/Needle U-100 1 ML 28 x 1/2" Insulin Syringe/Needle U-100 1 ML 30 x 1/2" Insulin Syringe/Needle U-100 1 ML 31 x 5/16" Insulin Syringe/Needle U-100 1 ML 31 x 15/64" (Embecta Insulin Syringe U-100, Embecta Insulin Syringe Ultrafine) | 83017941203, 83017941003, 83017942003, 83017942403, 83017827803, 83017841101, 83017841103, 83017828903, 83017841801, 83017841803, 83017490803, 83017491201, 83017491203 |
Insulin Syringe U-100 0.3 ML – Various Sizes (Ulticare, Techlite, Droplet, Monoject, Litetouch, Kroger, Leader, Trueplus, Ultra Flo, Comfort EZ, Ultiguard,Fifty50, GNP, Glucopro, Advocate) | Removed from formulary | Insulin Syringe/Needle U-100 0.3 ML 30 x 1/2" Insulin Syringe/Needle U-100 0.3 ML 31 x 15/64" Insulin Syringe/Needle U-100 0.3 ML 31 x 5/16" (Embecta Insulin Syringe Ultrafine, Embectra Insulin Syringe ½ 0.5 Unit) | 83017828003, 83017843101, 83017843103, 83017490603, 83017490901, 83017490903, 83017491001, 83017491003, 83017829103, 83017843801, 83017843803, 83017844001, 83017844003 |
Insulin Syringe/Needle U-100 1/2 ML / 0.5mL – Various Sizes (Ulticare, Techlite, Droplet, Monoject, Litetouch, Kroger, Leader, Trueplus, Ultra Flo, Comfort EZ, Ultiguard,Fifty50, GNP, Glucopro, Advocate) | Removed from formulary | Insulin Syringe/Needle U-100 1/2 ML 31 x 5/16" Insulin Syringe/Needle U-100 1/2 ML 28 x 1/2" Insulin Syringe/Needle U-100 1/2 ML 30 x 1/2" Insulin Syringe/Needle U-100 1/2 ML 31 x 15/64" | 83017829003, 83017846801, 83017846803, 83017946103, 83017946503, 83017827903, 83017846601, 83017846603, 83017490703, 83017491101, 83017491103, 83017673003 |