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2024
Aetna Better Health of Maryland would like to make you aware of the opiate prescribing patterns of Value Based Solution providers patients as a way to help coordinate care between your primary care patients and any specialist in play. You can review the following notice of trends which have been identified (PDF).
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