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Review Plan Details > Part D

Does My Pharmacy Participate?


There are two ways to search for a pharmacy:


Our Networks

If you travel, you are very likely to find a participating pharmacy near you. Medi-CareFirst's in-network pharmacies include:

  • 1,400 pharmacies in its service area of Maryland, the District of Columbia and Delaware
  • More than 60,000 pharmacies nation-wide
  • Most major chains
  • Retail, home infusion, and long-term care pharmacies

Out-of-Network Pharmacies

Generally, we only cover drugs filled at an out-of-network pharmacy in limited, non-routine circumstances when a network pharmacy is not available.

  • If you are traveling within the United States and become ill, lose, or run out of your prescription drugs, the Medi-CareFirst Part D plan will cover prescriptions filled at an out-of-network pharmacy.
  • You will have to pay the full cost (rather than paying just your copay) when your prescription is filled and will need to submit a claim form (62 KB, 2 pgs.) PDF icon  when you return home.
  • You may be responsible for paying the difference between what we would pay for a prescription filled at an in-network pharmacy and what the out-of-network pharmacy charged for your prescription.

For More Information

Call Claims Customer Service at 1-800-693-1434 (TTY: 1-800-693-0765), 24 hours a day/7 days a week to find out if there is a network pharmacy in the area where you are traveling. If there are no network pharmacies in that area, Customer Service may be able to make arrangements for you to get your prescriptions from an out-of-network pharmacy.


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Plan Resources

Additional Information

  • Blue Rx (PDP) plans do not pay for prescriptions filled by pharmacies outside of the United States and territories, even for a medical emergency. 
  • See the Frequently Asked Questions  section for more information on participating pharmacies.
Senior Prescription Drug Assistance Program

We administer Maryland's SPDAP program

Find out what it is and if you're eligible.