Pharmacy Benefits

When you have full MaineCare coverage, you can get prescription drugs paid for with your pharmacy benefit.

Preferred Drug List

See MaineCare's Preferred Drug List (PDL) for a list of medications your doctor can prescribe. Drugs listed as “Preferred” generally do not need a prior authorization (PA). Drugs listed as “Non-Preferred” will need a PA from your provider.

Copayments

You may need to pay for part of the cost of your prescription drug. What you pay is called a copayment, or copay.

For more information about prior authorizations, and to see what you may pay for a copay your prescription drug, visit our Coverage and Benefits webpage.

Mail Order Pharmacies

You can get brand name or generic drugs from mail order pharmacies that are approved by MaineCare. Mail order saves you time and money. You can get a 90-day supply of most generic and brand name drugs delivered to your mailbox. When you order drugs through the mail you will not be charged a copay.

If you have prescription drug questions, please contact the Pharmacy Help Desk: 1-866-796-2463. TTY users dial 711.

Discount Drug Programs

Drugs for the Elderly and Disabled (DEL)

This discount drug program is for individuals who are age 62 and older or have a disability and are over the income level for MaineCare. You may get up to 80% off the cost of your prescription drugs. You may also have to pay a $2.00 copayment.

Maine Rx Plus

If you are over the income level for MaineCare, you may get a discount on some prescription drugs. If you are eligible, you may save up to 60% on generic drugs and 15% on name brands.

Questions

For prescription drug benefits, medication prior authorizations, and Medicare Part D questions, call 1-866-796-2463. TTY users dial 711.