MARYLAND
Medicaid Pharmacy Program

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Welcome to our website to keep you up to date on Maryland Medicaid Pharmacy Program issues. This website has all of the articles available in the Pharmacy News and Views Newsletter, and links to the Maryland Medicaid Pharmacy Program Advisories and Program website.

Corrective Managed Care Program

The Corrective Managed Care (CMC) Program has been established in an effort to identify patients who may be utilizing excessive quantities of controlled substances, especially when multiple prescribers and pharmacy providers are involved.

Each month specific patients are identified utilizing criteria that evaluate overuse of controlled substances. Approximately 300 patients are reviewed each month. Once a patient is identified, their drug and diagnosis history is reviewed by a clinical pharmacist and a determination is made whether an educational intervention letter should be sent to all prescribers and pharmacy providers for the patient.

 

Intervention letters are mailed along with a complete drug and diagnosis history profile and a response form asking the provider to indicate what action may be taken with regard to the patient's drug therapy. If after repeated intervention letters are mailed, the patient's drug utilization does not improve, they can be restricted to a single pharmacy in an effort to reduce possible misuse or diversion.

 

For more information regarding the CMC program please contact the CMC Pharmacist at 410-767-5945. 

 

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Maryland Medicaid Pharmacy Program

Preferred Drug List

The Maryland Medicaid Pharmacy Program Preferred Drug List (PDL) is included on Epocrates. Visit Epocrates and click on "Epocrates Online" or "My Account" to register for your free Epocrates online account. The PDL is updated weekly.

Maryland
Department of Health

Maryland Medicaid Pharmacy Program Provider Advisories

Maryland Medicaid Provider Transmittals

Maryland Board of Pharmacy

Maryland
Peer Review Program

This website is maintained by Health Information Designs Inc., which is under contract with the Maryland Department of Health (MDH) to provide technical support  for the Maryland Medicaid Pharmacy Program. Links to the MDH Maryland Medicaid Pharmacy Program and other MDH websites are provided.  Questions concerning this website should be directed to the website administrator.