Michigan Medicaid formulary changes coming Oct. 1, 2019

The Michigan Department of Health and Human Services has worked with its health plan partners to create a list of drugs that all Medicaid health plans must cover. This list is called the Michigan Medicaid Managed Care Common Formulary and is available at Michigan.gov, keyword search “Managed Care Common Formulary”.

Changes effective Oct. 1, 2019

  • Econazole nitrate 1% cream will become non-formulary. Covered formulary alternatives of similar potency include clotrimazole 1% cream, ketoconazole 2% cream, miconazole nitrate 2% cream, and Nystatin 100,000 unit/gm cream.
  • Tetracycline 250mg and 500mg capsules will become non-formulary. Covered formulary alternatives include doxycycline monohydrate 50mg (tablets and capsules), doxycycline monohydrate 100mg (tablets and capsules), doxycycline hyclate 100mg tablets, and minocycline 50mg, 75mg, and 100mg capsules.

Patients can continue to receive the drugs above through Sept. 30, 2019. By Oct. 1, 2019 they must switch to another covered medication or contact you to request additional coverage. Impacted patients will receive a letter in September outlining their upcoming drug change(s) and what action they should take to prepare.

Providers who have impacted patients will receive a letter in September outlining the changes above. 

Requesting coverage determinations or formulary exceptions

Call our Pharmacy team toll-free at 800.466.6642. We’re open from 8 a.m. to 7 p.m., Monday through Friday and from 8:30 a.m. to 12 p.m. on Saturday. You can also fax your request toll-free to 877.974.4411.