meridian policy updates
Track new and updated meridian policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| COVID-19 Test Quantity Limit | Meridian | Clinical | Laboratory/Pathology | Modified | Sep 1, 2026 |
| Actimmune (interferon gamma-1b) coverage | Meridian | Clinical | Immunology/Rheumatology | Modified | Aug 1, 2026 |
| 2026 Step Therapy Criteria — select CNS agents (antidepressants, antipsychotics, dextromethorphan/bupropion, trazodone) | Meridian | Clinical | Pharmacy & Specialty Drugs | Modified | Aug 1, 2026 |
| Oral and Enteral Formula | Meridian | Clinical | Durable Medical Equipment (DME) | Modified | Apr 1, 2026 |
| Glucagon-Like Peptide-1 (GLP-1) Receptor Agonists Weight Management Benefit for Pediatric Members | Meridian | Clinical | Bariatric & Obesity Management | Modified | Mar 1, 2026 |
| Exagamglogene autotemcel (Casgevy) gene therapy coverage | Meridian | Clinical | Pharmacy & Specialty Drugs | Modified | Jan 1, 2026 |
| Lovotibeglogene autotemcel (Lyfgenia) gene therapy coverage | Meridian | Clinical | Pharmacy & Specialty Drugs | Modified | Jan 1, 2026 |
| Finerenone (Kerendia) — Coverage Criteria for CKD with Type 2 Diabetes | Meridian | Clinical | Nephrology | Modified | Aug 1, 2025 |
| Clinical Policy: Esketamine (Spravato) | Meridian | Clinical | Psychiatry/Behavioral Health | Modified | Jul 1, 2025 |
| Mirikizumab-mrkz (Omvoh) coverage | Meridian | Clinical | Gastroenterology | Modified | Jun 3, 2025 |
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OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
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Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.