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 Welcome to the Maryland HealthChoice Priority Partners formulary guide on Formulary Navigator™

Pharmacy webpage:  https://www.ppmco.org/benefits/pharmacy/

Pharmacy Formulary:  https://www.ppmco.org/wp-content/uploads/2016/12/pp_formulary_2017.pdf

Prior Authorization:  https://www.ppmco.org/benefits/pharmacy/pharmacy-prior-authorizations/

Prior Authorization Form:  http://ppmco.org/wp-content/uploads/2014/12/pp_prior_authorization_dec_2014.pdf


You may search the Formulary in several ways: 

• Use the alphabetical list to search by the first letter of your medication.

• Search by typing part of the generic (chemical) and brand (trade) names.

• Search by selecting the therapeutic class of the medication you are looking for.

PLEASE NOTE: Because prescription drug programs vary by group, the inclusion of a drug in this formulary does not imply coverage. This formulary is subject to change throughout the year and plan exclusions may override this list. Benefit designs may vary with respect to drug coverage, quantity limits, step therapy, days supply and prior authorization. Please call the number listed on your member ID card if you have questions about your specific prescription drug benefits. Please discuss any questions or concerns about your drug therapy with your physician or pharmacist.

Alphabetical Search Skip to Brand & Generic Search

Brand & Generic Name Search


Therapeutic Class Search Skip to Footer

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The Maryland Medicaid Pharmacy Program provides an online listing of formulary products.  Products are coded based on coverage and include additional resources to facilitate coverage of products.

Formulary Id: 00000011
Formulary Effective Date: 10/01/2018
CMS Approval Date:
CMS Version:

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