Medicaid Pharmacy Program

*UPDATED: Change to the Office of Pharmacy Services Fee-for-Service Medicaid Helpline -- July 12​, 2021 


Medicaid Coronavirus Disease 2019 (COVID-19) Updates​​

During this rapid​ly evolving situation, we will provide updates as they become available. All Medicaid Providers should check the Medicaid COVID-19 Provider Updates page often for updates. For general coronavirus information, visit coronavirus.maryland.gov​​​​. ​
 

New! Small Rural Pharmacy Grants Program 

Please click here to see information on the new grants program offered by the Maryland Medicaid Pharmacy Program for Maryland's small rural pharmacies. ​
 

​Notice:  Pharmacy Helpline

Due to the State of emergency as a result of the 2019 Novel Coronavirus Pandemic (COVID-19), effective April 24, 2020, the Maryland Department of Health (MDH) Office of Pharmacy Services Fee-for-Service Medicaid Helpline is transitioning to a voicemail system. Read MDH Office of Pharmacy Services Call ​Center Helpline Changes to Voicemail System for more information. ​


Information for Consumers

The Maryland Medicaid Pharmacy Program (MPP) provides services for the following programs:​

Medical Assistance

Receive complete pharmacy services.

HealthChoice

Mental Health FormularySubstance Use Disorder Medication Clinical Criteria Final​. All other drugs are provided by HealthChoice Managed Care Organizations (MCOs).

​Family Planning

Receive only contraceptives and sexually transmitted infections treatment.

​Medicare Part D

Fully dual eligible Medicare beneficiaries receive most drugs excluded from Medicare Coverage. All other drugs are provided by Medicare Prescription Drug Programs (PDPs). Please note that beginning 01/01/2013, drug coverage for Benzodiazepines and Barbiturates for those patients that are both Medicaid and Medicare eligible,will be provided by Medicare Part D Prescription Drug Plans and not the Maryland Medicaid Pharmacy Program. This change may cause patient co-payments to vary.​​​

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