Maine.gov
Provider Help Desk: (p) 888-420-9711 (f) 800-408-1088 | Member Help Desk: (p) 866-796-2463 (f) 207-287-8601
Prior Authorization (PA) Helpdesk (for Provider PA inquiries): (p) 888-445-0497 (f) 888-879-6938

General Pharmacy Info Archives

Name Description Date
Pharmacy List by Name 394.6 KB 2018/04/03
Pharmacy List by NPI 395.06 KB 2018/04/03
Pharmacy List by Name 392.17 KB 2018/03/16
Pharmacy List by NPI 392.6 KB 2018/03/16
Pharmacy List by Name 356.32 KB 2018/02/01
Pharmacy List by NPI 356.25 KB 2018/02/01
Maintenance List as of 01.19.2018 2.55 MB 2018/01/08
Pharmacy List by Name 63.24 KB 2017/12/01
Pharmacy List by NPI 65.17 KB 2017/12/01
Pharmacy List by Name 344.48 KB 2017/10/04
Pharmacy List by NPI 344.34 KB 2017/10/04
Pharmacy List by Name 62.74 KB 2017/09/01
Pharmacy List by NPI 64.51 KB 2017/09/01
Pharmacy List by Name 343.14 KB 2017/08/01
Pharmacy List by NPI 342.96 KB 2017/08/01
Pharmacy List by Name 343.14 KB 2017/07/05
Pharmacy List by NPI 342.96 KB 2017/07/05
Pharmacy List by NPI 342.26 KB 2017/06/01
Pharmacy List by Name 342.44 KB 2017/06/01
Pharmacy List by NPI 66.69 KB 2017/05/02
Pharmacy List by Name 64.75 KB 2017/05/02
Pharmacy List by Name 64.49 KB 2017/04/03
Pharmacy List by NPI 66.47 KB 2017/04/03
Pharmacy List by Name 349.31 KB 2017/03/02
Pharmacy List by NPI 349.24 KB 2017/03/02
Pharmacy List by NPI 349.24 KB 2017/02/02
Pharmacy List by Name 349.31 KB 2017/02/02
Pharmacy List by Name 356.44 KB 2016/12/05
Pharmacy List by NPI 356.42 KB 2016/12/05
Morphine Sulfate Equivalent (MSE) Chart 50.37 KB 2016/11/18
Pharmacy List by Name 357.11 KB 2016/11/03
Pharmacy List by NPI 357.1 KB 2016/11/03
Pharmacy List by Name 356.47 KB 2016/10/03
Pharmacy List by NPI 356.45 KB 2016/10/03
Pharmacy List by Name 356.42 KB 2016/09/29
Pharmacy List by NPI 356.42 KB 2016/09/29
Pharmacy List by NPI 67.01 KB 2016/09/01
Pharmacy List by Name 64.98 KB 2016/09/01
Pharmacy List by Name 64.8 KB 2016/08/01
Pharmacy List by NPI 66.93 KB 2016/08/01
Pharmacy List by Name 64.73 KB 2016/07/01
Pharmacy List by NPI 66.78 KB 2016/07/01
Pharmacy List by Name 353.05 KB 2016/06/01
Pharmacy List by NPI 352.99 KB 2016/06/01
Pharmacy List by NPI 351.52 KB 2016/05/02
Pharmacy List by Name 351.46 KB 2016/05/02
Morphine Sulfate Equivalent (MSE) Chart 205.53 KB 2016/03/17
Pharmacy List by NPI 65.02 KB 2016/03/01
Pharmacy List by Name 63.17 KB 2016/03/01
Pharmacy List by Name 347.43 KB 2016/02/01
Pharmacy List by NPI 347.37 KB 2016/02/01
Pharmacy List by NPI 347.37 KB 2016/01/04
Pharmacy List by Name 347.43 KB 2016/01/04
Pharmacy List by Name 64.06 KB 2015/12/01
Pharmacy List by NPI 350.21 KB 2015/12/01
Pharmacy List by Name 347.43 KB 2015/11/02
Pharmacy List by NPI 347.4 KB 2015/11/02
Pharmacy List by NPI 345.28 KB 2015/10/01
Pharmacy List by Name 345.4 KB 2015/10/01
Pharmacy List by NPI 345.28 KB 2015/09/01
Pharmacy List by Name 345.4 KB 2015/09/01
Pharmacy List by NPI 344.58 KB 2015/07/01
Pharmacy List by Name 344.72 KB 2015/07/01
Pharmacy List by NPI 343.1 KB 2015/04/01
Pharmacy List by Name 343.28 KB 2015/04/01
Pharmacy List by NPI 341.03 KB 2015/02/02
Pharmacy List by Name 341.17 KB 2015/02/02
Pharmacy List by NPI 343.83 KB 2015/01/06
Pharmacy List by Name 343.91 KB 2015/01/06
Pharmacy List by NPI 344.46 KB 2014/12/18
Pharmacy List by Name 344.58 KB 2014/12/18
Pharmacy List by NPI 343.75 KB 2014/11/04
Pharmacy List by Name 343.82 KB 2014/11/04
Pharmacy List by Name 340.35 KB 2014/10/02
Pharmacy List by NPI 340.24 KB 2014/10/02
Pharmacy List by NPI 340.24 KB 2014/09/02
Pharmacy List by Name 340.24 KB 2014/09/02
Pharmacy List by NPI 340.24 KB 2014/08/01
Pharmacy List by Name 340.24 KB 2014/08/01
Pharmacy List by NPI 339.57 KB 2014/07/07
Pharmacy List by Name 339.59 KB 2014/07/07
Pharmacy List by NPI 339.58 KB 2014/06/05
Pharmacy List by Name 339.6 KB 2014/06/05
Morphine Sulfate Equivalent (MSE) Chart 149.05 KB 2013/02/04
Morphine Sulfate Equivalent (MSE) Chart 150.25 KB 2013/01/15
Pharmacy List by NABP 318.38 KB 2011/11/17
Pharmacy List by NPI 318.44 KB 2011/11/17
Pharmacy List by Name 318.56 KB 2011/11/17
MaineCare PDL Dose Consolidation List 69.48 KB 2011/07/22
15 Day Limits Drug List Newsletter 77.1 KB 2010/10/01
Pharmacy Listing by NABP Number (7/10) 28.38 KB 2010/07/16
Provider Newsletter - Synagis 81.09 KB 2009/10/26
Pharmacy Listing by Name (09/04/09) 783.46 KB 2009/09/21
Pharmacy Listing by NPI Number (09/04/09) 778.45 KB 2009/09/21
Celexa/Citalopram Splitting Table - 05/2009 34.5 KB 2009/05/18
Pharmacy Listing by NPI Number 97.33 KB 2008/12/29
Pharmacy Listing by NABP Number 94.45 KB 2008/12/29
Pharmacy Listing by Name 92.49 KB 2008/12/29
MaineCare Supplemental Request Form 64 KB 2008/10/21
MaineCare Compound Claim Form 78 KB 2008/10/20
Medicare Part D Manual Claim Form 92 KB 2008/10/20
MaineCare Reversal Form 68.5 KB 2008/10/20
NPI Memo April 17, 2007 26.23 KB 2007/04/17
MaineCare Diabetic Supply List 40.42 KB 2007/03/28
Lexapro Splitting Table - 8/27/2004 14.48 KB 2007/02/19
Instructions for Submitting Claims for Unassigned Duals & MEPARTD Wrap Processing 55 KB 2006/10/25
Enhancement to the MaineCare Safety Net for Unassigned Duals 21.5 KB 2006/08/16
MEDEL MEPARTD Update 399.5 KB 2006/08/16
Part D RAC Category chart PROVIDER VERSION 75.5 KB 2006/08/16
Emergency Procedure for Part D Issues 401.5 KB 2006/01/03
Medicare Part D PDP Contact Information (USA) 158.5 KB 2005/12/30
Medicare Part D Q & A 32.05 KB 2005/12/30
MaineCare: Medicare Part D Excluded Drugs 25.31 KB 2005/12/15
MaineCare Speciality Direct Supply Drug List - 9/27/2005 57.2 KB 2005/09/27
Zoloft Splitting Table 36 KB 2005/06/24
Diabetic Supplies Information - 9/30/2003 53.31 KB 2005/04/19
Diag. SC Eligible Drug List - Current 56.39 KB 2005/04/19
MaineCare Covered Asthma Supplies List - 02/14/2004 61.27 KB 2005/04/19
MaineCare Diagnosis Codes - 01/09/2004 37.5 KB 2005/04/19
MaineCare PA Conversion Chart 53.5 KB 2005/04/19
MaineCare Physician's J-Code/NDC Crosswalk Report - 5/12/2004 19.46 KB 2005/04/19
MaineCare Restricted Direct Supply Drug List - 12/2004 19.42 KB 2005/04/19
Pharmaceutical Companies Contact List - 08/12/2004 464.57 KB 2005/04/19
MaineCare OTC MAC List - Effective 04/28/2005 64 KB 2005/03/29