MedicaidCoverageLow impact
Copayment Change for Maryland Pharmacy Assistance Recipients
Maryland Medicaid·MD · Pharmacy·Pharmacy
Effective date
Oct 1, 2003
We identified it
Jun 20, 2026
Summary
The Maryland Pharmacy Assistance Program is changing from a flat $5 copayment to a two-tiered structure: $7.50 for brand name drugs and $2.50 for generic drugs. Pharmacies are not required to fill prescriptions if recipients cannot pay the copayment.
Action Required
No action required for billing team. This policy change only affects pharmacies dispensing medications under the Maryland Pharmacy Assistance Program and does not impact medical billing codes or provider reimbursement.