In commemoration of its 250th anniversary the Saint Andrew's Society of Washington DC has established The Most Meritorious Order of Saint Andrew to recognize the achievements of the Scottish diaspora in the United States, as well as in those countries which do not have a national system of honours.

Membership in The Most Meritorious Order of Saint Andrew is limited to 250 individuals, and not more than 25 individuals may be admitted to the Order in any one year. Nominations to receive the Order may be made by individuals, Saint Andrew's Societies, Clan societies and associations, Scottish cultural bodies, and other bodies which may have notice of suitable candidates for the award.

The Order is awarded in the following categories:

Arts & Letters
Commerce and Science
Culture and Heritage
Humanitarian Service
Philanthropy
Singular Acts of Bravery and Heroism

Awards are not made for political activism, nor is the Order bestowed posthumously, except in the instance of singular acts of bravery or heroism.

The insignia of the award is a badge worn pendent from a ribbon placed around the neck, or pendent from a bow worn on the left shoulder in the instance of lady recipients. The badge shows the effigy of St. Andrew surrounded by a strap and buckle on which are thirteen stars.

Individuals or organizations wishing to put forward candidates for The Most Meritorious Order of Saint Andrew my do so by requesting the nomination form from the Saint Andrew's Society of Washington DC.