Approved Drug Benefits

Maryland Physicians Care has a wide selection of approved drugs. The approved drug list includes generic prescription drugs and some brand-name drugs. Please consider a drug from the generic prescription drug list if it meets your patient’s medical needs.

• Preferred Drug List (PDF)
• Use the Formulary Search Tool through Express Scripts for real-time coverage information
• MPC Medical Benefit Drug Prior Authorization Request Process (Buy & Bill)
• Monthly Formulary Updates (PDF)
• Over-The-Counter Covered Medications (PDF)
• Behavioral Health Information
• Preferred Diabetic Pen Needle Coverage (PDF)
• Preferred Asthma Controller Medication List (PDF)

Eviti Transition for Select Medications

Effective June 1, 2023, MPC will be terminating our autoimmune pilot. Providers will need to continue the current process of submitting prior authorization requests to Eviti for the medications listed below until the transition occurs on June 1, 2023. Starting on June 1, 2023, requests for the medications listed below must be submitted to our PBM, Express Scripts (ESI), for review and processing under the pharmacy benefit or to MPC for review and processing under the medical benefit.

For medications reviewed under the pharmacy benefit, providers must submit their prior authorization requests to ESI via e-PA system, fax at 1-877-251-5896 or may call directly into the ESI PA system at 1-800-753-2851 to initiate a prior authorization review.

Pharmacy Benefit Medications: