Maine.gov

MaineCare PDL

Health Care for Maine People

Pharmacy

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

Pain Management

The following files contain information and materials for use by physicians who participate in Maine's pharmacy benefits.

If you cannot view a file, please download the appropriate free plug-in from the links below.

Name Description Date
PA Waiver Form 60 KB 2020/10/30
Pharmacy Referral Form 127.45 KB 2019/01/04
Physician Referral Form 116.7 KB 2019/01/04
Pain Management Policy 146.17 KB 2017/02/20

For more documents, see archives page.