The Michigan Medicaid SPDL Formulary has been updated as of 8/1/2025.These changes include drugs that have been added, removed, or had utilization management restrictions adjusted for preferred and non-preferred medications
Our How Do You PrEP Flyer (PDF) provides an overview of currently available Pre-Exposure Prophylaxis (PrEP) Medication, provides links for more information on PrEP, and additional criteria used to determine if your patient(s) may be good candidate(s) to take PrEP.
The National Kidney Foundation of Michigan (NKFM) has a suite of resources and workshops designed to raise awareness and provide resources for chronic kidney disease
The coverage of certain insulin syringes and pen needle products is 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.
Hepatitis C Virus Program: The recommended treatment for HCV is Mavyret, which can be dispensed in eight- week supply. Providers who have prescriptive authority can prescribe Mavyret to their patients with a positive Hepatitis C diagnosis. Prior authorization is not required for Medicaid.
Medicare-Medicaid Plan (MMP) Dedicated Care Management: All MMP members have a dedicated care manager who is a registered nurse or licensed social worker assigned to support them with their health care needs, navigating the health care system, and assisting with resources for SDoH needs. For more information call 1-855-323-4578 or contact provider relations via our Provider Relations Inquiry Form.
