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Prescription costs

Senior Prescription Drug Assistance Program: help with drug costs in Maryland

Maryland's Senior Prescription Drug Assistance Program (SPDAP) pays up to $100 a month toward your Medicare drug plan premium.

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From the Maryland Senior Prescription Drug Assistance Program (Maryland Department of Health)
An older man's hands filling a weekly pill organizer next to prescription bottles

It is for Maryland residents with Medicare and moderate incomes, at any age. People who get full Extra Help or Medicaid can't join, because those programs already cover their drug costs.

How to apply in Maryland

By mail
Download the application from marylandspdap.com or call for one. Mail it to Maryland SPDAP, c/o International Software Systems, Inc., PO Box 749, Greenbelt, MD 20768-0749.

Who may qualify in Maryland

Who may qualify for Senior Prescription Drug Assistance Program
One personMarried couple
Yearly income limit (2026 chart)$47,880 a year$64,920 a year
Where you liveMaryland resident for at least six months
AgeAny age, if you have Medicare
Medicare drug planMust be enrolled in a Part D plan or a Medicare Advantage plan with drug coverage
Extra Help and MedicaidYou can't join if you get full Extra Help or are eligible for Medicaid

Source: Maryland Senior Prescription Drug Assistance Program, for the Maryland Department of Health (source 3)

What you may get

What Senior Prescription Drug Assistance Program pays
What it paysUp to $100 a month toward your Medicare drug plan premium

Source: Maryland Senior Prescription Drug Assistance Program, for the Maryland Department of Health (source 3)

Good to know

  • The income limit is 300% of the federal poverty level.
  • SPDAP has no coverage gap (donut hole) help for 2026.
  • Don't have your drug plan premium taken out of your Social Security check. Ask your plan to bill you directly so SPDAP can pay its share.
  • The Maryland AIDS Drug Assistance Program, also on Medicare's list, is only for people living with HIV.

Sources: Maryland Senior Prescription Drug Assistance Program, for the Maryland Department of Health (source 1), Medicare.gov (Centers for Medicare & Medicaid Services) (source 5)

Free help

Free help with this in Maryland

More help in Maryland

State help with drug costs in another state

Sources

  1. Maryland Senior Prescription Drug Assistance Program, for the Maryland Department of Health, Senior Prescription Drug Assistance Program (SPDAP) Overview (official government site). Checked Oct 28, 2026.
  2. Maryland Senior Prescription Drug Assistance Program, for the Maryland Department of Health, Contact Us (official government site). Checked Oct 28, 2026.
  3. Maryland Senior Prescription Drug Assistance Program, for the Maryland Department of Health, Maryland Senior Prescription Drug Assistance Program Enrollment Application (official government site). Checked Oct 28, 2026.
  4. Maryland Senior Prescription Drug Assistance Program, for the Maryland Department of Health, SPDAP Subsidies (official government site). Checked Oct 28, 2026.
  5. Medicare.gov (Centers for Medicare & Medicaid Services), Find out if your state has a State Pharmaceutical Assistance Program: Maryland (official government site). Checked Oct 28, 2026.

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