MedicaidCoverageMedium impact
MSA 20-03
Michigan Medicaid - MDHHS·MI · Pharmacy·Provider Bulletin
Effective date
Oct 1, 2019
We identified it
Jun 20, 2026
Summary
Michigan Medicaid now covers specific Active Pharmaceutical Ingredients (APIs) and excipients for compound drug claims, effective October 1, 2019. This policy applies to Medicaid, Healthy Michigan Plan, and Children's Special Health Care Services Fee-for-Service pharmacy reimbursement.
Action Required
Immediately: Pharmacy providers and FQHCs/Tribal Health Centers billing Michigan Medicaid should update compound drug claim procedures to include covered APIs and excipients from the approved list. Reference the complete list of NDC codes provided in the policy when submitting compound drug claims. Ensure billing staff can access the maintained list at Michigan.magellanrx.com for current coverage information.