Diabetic Supply Reference Guide (September 2025 Update)

Highlights of Recent Changes:

Effective 8/1/2025, under the pharmacy benefit for MI Meridian Medicaid members, only Embecta (formerly known as B.D.) branded insulin syringes and pen needles will be preferred and covered without prior authorization. Embecta and BD products have an NDC-code starting with 83017- or 08290-.
Effective 10/1/2025, under the pharmacy benefit for MI Meridian Medicaid members, only Accu-Chek Guide brand blood glucose test strips and glucometers will be preferred and covered without prior authorization, replacing the previous preferred OneTouch Verio test strips and meter as preferred.
- Accu-Chek Guide test strips are covered within quantity limits of 250 test strips per 30 days.
- Accu-Chek Guide and Guide Me glucometers are covered for 1 meter per 365 days.
Between 7/7/2025 and 9/30/2025, under the pharmacy benefit for MI Meridian Medicaid Members, Accu-Chek Guide test strips and glucometers will be co-preferred with OneTouch Verio test strips and glucometers, enabling product transition for members, pharmacies, and prescribers.
Effective on 10/01/2025 OneTouch Verio test strips and glucometers will be removed from the formulary.

Meridian has created this resource to provide coverage information for diabetic supplies and applicable prior authorization requirements. 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, you may call the Pharmacy Help Desk at 866-984-6462.

Please refer to the table below for information regarding diabetic supply products, available benefit types where diabetic supplies are covered, dispensing routes, and additional information.

Product:	Benefit Type:	Dispensed by:	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	Prior authorization NOT required under pharmacy benefits for preferred products and claims within the Quantity Limit of 250 strips per 30 days Effective 10/1/2025, under the pharmacy benefit, Accu-Chek Guide will be the only preferred test strip product and replace OneTouch Verio as the preferred test strips Between 7/7/2025 to 9/30/2025, under the pharmacy benefit, Accu-Chek Guide diabetic test strips and glucometers will be co-preferred with OneTouch Verio test strips and glucometers, enabling product transition for members, pharmacies, and prescribers Prior authorization required under pharmacy benefits for other test strip brands as nonformulary products, please submit documentation supporting medical necessity with PA requests Prior authorization NOT required under medical benefits
Blood Glucose Glucometers	Pharmacy or Medical	Pharmacy or DME	Prior authorization NOT required under pharmacy benefits for preferred products and claims within the Quantity Limit of 1 meter per 365 days Effective 10/1/2025, under the pharmacy benefit, Accu-Chek Guide and Guide Me will be the only preferred glucometers and replace OneTouch Verio Flex meter Between 7/7/2025 and 9/30/2025, under the pharmacy benefit, Accu-Chek Guide and Guide Me glucometers will be co-preferred with OneTouch Verio Flex meter, enabling product transition for members, pharmacies, and prescribers Prior authorization required under pharmacy benefits for other glucometers as nonformulary products, please submit documentation supporting medical necessity with PA requests Prior authorization NOT required under medical benefits
Lancets	Pharmacy or Medical	Pharmacy or DME	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	Prior authorization NOT required under pharmacy benefits for preferred products Effective 8/1/2025, preferred products are Embecta branded syringes and pen needles (formerly known as BD brand). This applies to pharmacy benefit only 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	Prior authorization NOT required under pharmacy benefits for claims within the Quantity Limit of 100 strips per 30 days 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 authorizations can 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 the 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’

Last Updated: 09/17/2025