If you are enrolled in Medicaid, you must renew once a year or you will lose your coverage.

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Approved 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 drug from the generic prescription drug list if it meets your patient’s medical needs.

Step Therapy Requirements

Medications that require Step Therapy (ST) require trial and failure of preferred formulary agents prior to their authorization. If the prerequisite medications have been filled within the specified time frame, the prescription will automatically process at the pharmacy. Prior Authorization will be required for prescriptions that do not process automatically at the pharmacy. Click on the Step Therapy Requirements Guide (PDF) to learn more.

HIV Carve-in Benefit Information

As of January 1, 2020, all HIV medications were carved in as a pharmacy benefit from Maryland Medicaid to be managed by Medicaid recipients’ individual Managed Care Organization (MCO).

For additional information on HIV medications and prior authorization forms, click here.

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Know The Facts About Coronavirus (COVID-19)

Symptoms are flu-like, including: fever, coughing, and shortness of breath.

If you think you might have been exposed, contact your doctor immediately. You can also have a video visit with a doctor using the MyVirtualMPC app.

It is important to do everything you can to protect yourself from COVID-19.

Notice

Please note that as of 4/26/2021, the following Maryland Physicians Care Utilization Department fax numbers have changed.

For In-Patient Continued Stay Clinical, please fax to 1-855-905-5939.

For post-discharge planning (DME, Home Health, Infusion, Hospice), please fax to 1-855-905-5936.

Important - Please review the updated Maryland Physicians Care Provider Manual. Updates are found in sections III, IV, VI, and VII. MPC Provider Manual