Prescription Drug Coverage
Your Prescription Drug program is designed to provide you with affordable access to both generic and brand-name drugs.
The amount that you pay out-of-pocket (your co-pay) will vary as noted below. Members who have MHIP+ will pay less. The MHIP Application Booklet outlines the cost differences for MHIP+ members.
Note – PPO plans have a separate annual deductible for pharmacy services (based on your plan year, not the calendar year). Once the deductible has been met, you will pay the applicable co-pay listed below.
- Tier 1 – Generic Drugs -- $20 for a 31-day supply/$40 for a 90-day supply
- Tier 2 – Preferred Brand-Name Drugs; $27 for a 31-day supply/$54 for a 90-day supply
- Tier 3 – Nonpreferred Brand-Name Drugs -- $47 per prescription/$94 for a 90-day supply
Note: If you select a brand-name drug when a generic is available, you will pay the nonpreferred brand (Tier 3) co-pay, PLUS the difference in cost between the generic and brand-name drug.
Maintenance Drugs
You will pay less for your maintenance drugs if you buy a 90-day supply instead of buying a monthly supply.
Mail Order
Members who prefer the convenience of mail order, can order their drugs through Walgreens Mail Order Services. Please visit the Walgreens Mail Order Web site for members of CareFirst plans for more information.
Pre-Authorization
Certain drugs require approval from MHIP before you can get them from the pharmacy. This process is called pre-authorization.
Drugs Requiring Pre-authorization
Quantity Limits
Some drugs have limits on the amount of the drug you can get during a specific time period. These are called quantity limits
Quantity Limit ListResources
- Adverse Drug Form

- MHIP Application Booklet

- Prescription Drug Claim Form

- Drugs Requiring Pre-authorization
- Maintenance Drugs List
- Quantity Limit List
- Walgreen's Mail Order Site
Viewing and printing these documents requires Adobe Acrobat Reader, which can be downloaded free from the Adobe site.
MHIP is administered by CareFirst BlueCross BlueShield and CareFirst BlueChoice, independent licensees of the BlueCross BlueShield Association.


