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2024
To come
Beginning May 1, 2024, a change to pharmacy benefits will include a copay for prescriptions for some medications, as directed by Maryland Medicaid:
Non-formulary brand-name - $3
Formulary brand-name - $1
Generic formulary and non-formulary - $1
Antiretroviral for the treatment of HIV/AIDS brand/generic - $1
Excluded from all pharmacy copays are:
Members under age 21
Members who are pregnant
American Indian tribal members
Members receiving a "short fill" (3-day supply) for emergency services
Members receiving hospice care
Members receiving family-planning activities
Members in long term care (LTC) facilities, skilled nursing facilities (SNF) and assisted living facilities