Captain James T. Kirk was a recipient of this medal prior to 2267. (TOS: "Court Martial", "This Side of Paradise") Kirk's emotional reaction to seeing the medal, after removing it from the safe in his quarters, seems to have helped him shake off the effect of the Omicron spores.
In 2367, Barash created a holoprogram of a fictional future based on William T. Riker's thoughts and expectations. In Riker's fictional service record in the holoprogram, he was awarded the Starfleet Medal of Honor by Starfleet Command on stardate 51692 for his role in detecting and preventing a preemptive strike into the Gamma Hydra sector by the Romulans. (TNG: "Future Imperfect")