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.

Eviti Transition for Select Medications

Effective October 04, 2021, MPC will be transitioning the review of select medications prescribed for the treatment of autoimmune disease to our vendor Eviti. Eviti will process prior authorization requests prescribed for the autoimmune medications listed below:

Humira (adalimumab)
Ilaris (canakinumab)
Otezla (apremilast)
Enbrel (etanercept)
Kevzara (sarilumab)
Simponi (golimumab)
Benlysta (belimumab)
Orencia (abatacept)
Stelara (ustekinumab)

Prior authorization requests will be submitted to Eviti Connect® for Autoimmune Diseases via their web-based platform. To help in this transition, several training sessions have been scheduled in September and all staff responsible for autoimmune authorizations are encouraged to participate! The training dates and times are listed here:

  • Tuesday 9/21/2021 at 11:00 AM ET
  • Tuesday 9/21/2021 at 2:00 PM ET
  • Wednesday 9/22/2021 at 1:00 PM ET
  • Thursday 9/23/2021 at 11:00 AM ET
  • Thursday 9/23/2021 at 2:00 PM ET
  • Tuesday 9/28/2021 at 11:00 AM ET
  • Tuesday 9/28/2021 at 2:00 PM ET
  • Wednesday 9/29/2021 at 1:00 PM ET
  • Thursday 9/30/2021 at 11:00 AM ET
  • Thursday 9/30/2021 at 2:00 PM ET
  • Tuesday 10/5/2021 at 11:00 AM ET
  • Tuesday 10/5/2021 at 2:00 PM ET
  • Wednesday 10/6/2021 at 1:00 PM ET
  • Thursday 10/7/2021 at 11:00 AM ET
  • Thursday 10/7/2021 at 2:00 PM ET

To register, send an email to training@nanthealth.com and indicate which training session you wish to attend and the number of attendees from your office who will participate. Eviti will respond with details for that web training session – including a toll-free phone number and a link to the web portion of the conference. Support for Eviti can be reached at clientsupport@nanthealth.com or 888-482-8057 option #2.

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.

Learn More

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.

Important Claims Processing Update

Effective 6/14/2021, all paper claims regardless of DOS should be sent to:
Maryland Physicians Care
P.O. Box 21099
Eagan, MN 55121