Approved Drug Benefits
Maryland Physicians Care has a wide selection of approved drugs for your doctor
to choose from. This list identifies drugs available to you through a prescription
from your doctor. This list also includes generic prescription drugs and some brand
name drugs. Please ask your doctor to consider a drug from the generic prescription
drug list if it meets your medical needs.
Prior Authorization and Quantity Limits for Drugs
Some prescription drugs require prior authorization from Maryland Physicians Care before a pharmacy can
fill your prescription. Your provider can complete the applicable Prior Authorization Form and fax it to
Maryland Physicians Care Pharmacy Prior Authorization (PA) Unit at 1-866-207-7231, or call the Maryland
Physicians Care Pharmacy PA team at 1-800-953-8854. If a drug that is not on this list is needed in an
emergency, a limited supply will be given. Your doctor or pharmacist can call Maryland Physicians Care 24 hours a day at 1-800-953-8854.
The step therapy (ST) program requires certain first-line drugs, generic drugs or
other formulary drugs to be prescribed prior to approval of specific second-line
drugs. Please refer to the Step Therapy/Prior Authorization Requirements for more
CVS Caremark Specialty Pharmacy is a pharmacy that offers medications for a variety of conditions,
such as cancer, hemophilia, immune deficiency, multiple sclerosis and rheumatoid arthritis, which are not often available at local pharmacies.
Specialty medications require prior authorization before they can be filled and delivered. Providers can call 1-800-953-8854 to request
prior authorization, or complete the applicable prior authorization form and fax to 1-866-207-7231.
Specialty medications can be delivered to the provider’s office, member’s home, or other location as requested.