MedicaidCoverageMedium impact
Update of List of Covered Drugs under the Pharmacy Assistance Program
Maryland Medicaid·MD · Pharmacy·Provider Transmittal
Effective date
Dec 14, 1998
We identified it
Jun 20, 2026
Summary
The Maryland Pharmacy Assistance Program is expanding its list of covered maintenance drugs to provide recipients with greater access to needed medications. The policy adds new drug categories while removing coverage for sexual dysfunction drugs classified as vasodilators, and requires pharmacies to inform recipients when prescriptions are not covered before dispensing.
Action Required
By February 4, 1999: Billing team must review the updated covered drug list for the Maryland Pharmacy Assistance Program and update billing systems to reflect new covered maintenance drug categories. Pharmacy staff must implement notification procedures to inform patients when prescriptions are not covered before dispensing. Document all notifications for audit purposes, especially for institutional pharmacies.