MedicaidAdministrativeLow impact
Changes to Pharmacy Co-payment for Prescriptions
Maryland Medicaid·MD · Pharmacy·Pharmacy
Effective date
Aug 1, 2005
We identified it
Jun 20, 2026
Summary
Maryland Medicaid is increasing co-payments for brand name drugs not on the preferred drug list from $2.00 to $3.00 per prescription effective August 1, 2005. Generic drugs and preferred brand name drugs remain at $1.00, with exemptions for children under 21, pregnant women, and nursing home residents.
Action Required
No action required for billing team. This is an outdated policy from 2005 that affects patient co-payment amounts only, not billing procedures or reimbursement to providers. Pharmacies collect co-payments directly from patients.