Annual Assessment FY 24
Payment Due: November 3, 2023
If your entity does not receive an assessment by October 6, 2023, or if you have any other questions about the assessment process, please contact Board staff by e-mail at support.pdab@maryland.gov. For additional information, please consult the
Frequently Asked Questions section.
How to Pay (electronic payment is preferred)
You may pay the assessment by ACH transfer, wire transfer, or check.
Payment by ACH is encouraged. Please e-mail payment.pdab@maryland.gov. for ACH and wire transfer instructions. Please note that if you pay the assessment by ACH or wire transfer, you will not be credited with payment unless you complete and submit the ACH/Wire Payment Voucher form.
If paying by check, make checks payable to the “Maryland Prescription Drug Affordability Board." Please provide the PDAB vendor ID number and “FY 2024 PDAB Fund" or enclose a copy of the assessment, and mail to:
Maryland Prescription Drug Affordability Board
16900 Science Drive, Suite 112-114
Bowie, MD 20715
Exemption Request Due: November 3, 2023
Exemption Requests are due by 11:59 PM, Eastern Time, on Friday, November 3, 2023. No late Exemption Requests will be Accepted.
Exemption Request
Request for Exemption Form and Instructions
Certificate of Business Record Form
Affidavit in Support of Request for Exemption Form
Reconsideration of Denial of Exemption Request
A Request for Reconsideration may be submitted within 15 days of the denial of the request for exemption by submitting: (a) a request for reconsideration on the form provided; and (b) additional information or documentation in support of the claimed exemption.
A request for reconsideration that does not include additional information or additional documentation will be denied. If the request for exemption is denied after reconsideration, the entity shall pay the assessment within 30 days of the issuance of the notice of denial. COMAR 14.01.02.02C.
Request for Reconsideration Form
Certificate of Business Record Form
Affidavit in Support of Request for Exemption Form
Contact Information/Change of Address
Contact Information Update
Form
Resource
Frequently Asked Questions