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 November, 15, 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)
Taltz (ixekizumab)
Enbrel (etanercept)
Kevzara (sarilumab)
Simponi (golimumab)
Simponi Aria (golimumab)
Xeljanz (tofacitinib)
Xeljanz XR (tofacitinib)
Benlysta (belimumab)
IV/Subq
Orencia (abatacept)
IV/Subq
Stelara (ustekinumab)
IV/Subq

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:

  • Thursday 11/4/2021 at 10:00 AM ET
  • Thursday 11/4/2021 at 1:00 PM ET
  • Tuesday 11/9/2021 at 10:00 AM ET
  • Tuesday 11/9/2021 at 1:00 PM ET
  • Thursday 11/11/2021 at 10:00 AM ET
  • Thursday 11/11/2021 at 1:00 PM ET
  • Monday 11/15/2021 at 2:00 PM ET
  • Tuesday 11/16/2021 at 2:00 PM ET
  • Wednesday 11/17/2021 at 10:00 AM ET

To register online, please follow the links below:

  • Click here to register for 10am EST on Thursday, November 4th
  • Click here to register for 1pm EST on Thursday, November 4th
  • Click here to register for 10am EST on Tuesday, November 9th
  • Click here to register for 1pm EST on Tuesday, November 9th
  • Click here to register for 10am EST on Thursday, November 11th
  • Click here to register for 1pm on Thursday, November 11th
  • Click here to register for 2pm EST on Monday, November 15th
  • Click here to register for 2pm EST on Tuesday, November 16th
  • Click here to register for 10am EST on Wednesday, November 17th

To register via e-mail, 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.

Effective November 15, 2021, MPC will be transitioning the review of select medications prescribed for the treatment of autoimmune disease to our vendor Eviti. For more information click here.