Medicaid Pharmacy Program

HIV/AIDS carve in to MCO benefit information 


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​​​​.

Prior Authorization for Antipsychotic Medications

For our Prior Authorization forms, see the links below.


For Tier 2 and non-preferred prior authorization --  Antipsychotic Prior Authorization Form for Patients 18 Years of Age and Older​  ​ ​​

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.​​​