Skip to Content Accessibility Information
  • Home
  • Board
  • Stakeholder Council
  • Fee Assessment
  • Cost Reviews
  • Public Resources
Go To Home Page

Maryland Prescription Drug Affordability Board

Left_Content
​
  • Cost Review Information
    • Board Selected Drugs and any applicable information​
    • Drugs Referred to the Stakeholder Council​
    • Therapeutic Alternatives
    • Request for Information
    • Additional​ Information
    • Public Comment Information​
  • Patient Information and Affordability
    • Public Comment Details
    • Patient Drug Submission Form​

Section Menu

Quick Links
ReportsNews and AnnouncementsContact Us​

Patient Drug Submission Form (Full Submission)

Main_Content
  • Electronic Submission Form
  • Fillable PDF
Center_Content
Site Logo
Maryland Prescription Drug Affordability Board
16900 Science Drive, Suite 112-114
Bowie, MD 20715

(410) 702-4981
  • Contact Us

Our Social Media Channels

We're available on the following channels.

Google Plus YouTube Vimeo Video Flickr Pinterest Snapchat LinkedIn Blogger Delicious Issuu RSS Feed Slack Reddit SoundCloud Podcast iTunes eNews GovDelivery