*UPDATED: Change to the Office of Pharmacy Services Fee-for-Service Medicaid Helpline -- July 12, 2021
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.
Receive complete pharmacy services.
Mental Health Formulary, Substance Use Disorder Medication Clinical Criteria Final. All other drugs are provided by HealthChoice Managed Care Organizations (MCOs).
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.