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Pages - Preferred Drug List - Maryland.gov Enterprise …

    https://health.maryland.gov/mmcp/pap/pages/Preferred-Drug-List.aspx
    Preferred Drug Fax Forms (all dr ugs except antipsychotics) . For Antipsychotic Prior Authorization forms Click here. Preferred Dr ug List . Brand Preferred over Generics List . …

Office of Pharmacy Services Medicaid Pharmacy …

    https://health.maryland.gov/mmcp/pap/docs/PDL%2001.01.2022%20v2.pdf
    Preferred Drug List Effective Date: 01/01/2022 (updated: 02/03/2022) Only drugs that are part of the listed therapeutic categories are affected by the Medicaid Preferred Drug List …

Maryland Medicaid Pharmacy Program

    https://mmppi.com/index.htm
    Emergency Supply of Medications All Maryland Medical Assistance fee-for-service and HealthChoice recipients are entitled to receive a 72-hour supply of medicine while …

Pages - Weblinks for Providers - Maryland.gov …

    https://health.maryland.gov/mmcp/pap/Pages/Weblinks-for-Providers.aspx
    Weblinks for Providers. The following websites contain references handy for pharmacists and physicians serving persons eligible for Maryland Medical Assistance: Formulary …

Medical Assistance - Maryland Department of Human …

    https://dhs.maryland.gov/weathering-tough-times/medical-assistance/
    Medicaid, also called Medical Assistance (MA) pays the medical bills of needy and low-income individuals. It is administered by the State and pays medical bills with Federal …

Mental Health Formulary - Maryland.gov Enterprise …

    https://health.maryland.gov/mmcp/pap/docs/^Mental%20Health%20Carve%20Out%20Formulary%20Update%20FINAL%2006.01.21.pdf
    Mental Health Formulary Updated June 2021 Drugs from the American Hospital Formulary Service (AHFS) therapeutic classes listed below are included in the …

Pages - Maryland AIDS Drug Assistance Program MADAP

    https://health.maryland.gov/phpa/OIDPCS/Pages/MADAP.aspx
    The Maryland AIDS Drug Assistance Program (MADAP) ensures that people living with HIV/AIDS in Maryland have access to the medication they need to stay healthy. MADAP …

Approved Drug Benefits - Maryland Physicians Care

    https://www.marylandphysicianscare.com/providers/drug-benefits/
    Maryland Physicians Care has a wide selection of approved drugs. The approved drug list includes generic prescription drugs and some brand-name drugs. Please consider a …

Pages - Pharmacy Program Forms - Maryland.gov …

    https://health.maryland.gov/mmcp/pap/Pages/Pharmacy-Program-Forms.aspx
    Nicotine Replacement Therapy (NRT) PA Form. Opioid PA Form. Orfadin or Nityr PA Form. Revlimid PA Form. Serostim PA Form (for treatment of AIDS Wasting Syndrome) …

Pages - Maryland AIDS Drug Assistance Program MADAP

    https://test-health.maryland.gov/phpa/OIDPCS/Pages/MADAP.aspx
    Prescribing Providers can use one of the following forms to request Prior Authorization for: MADAP HCV PA Requirements . For more information on the MADAP program, please …



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