FY 24 Fee Assessments
FY 24 Fee Assessment Instructions
Payment Due: November 3, 2023
If your entity does not receive an assessment by October 6, 2023, or if you have any other questions about the assessment process, please contact Board staff by e-mail at [email protected]. For additional information, please consult the Frequently Asked Questions - PDF - 159.77 KB.
How to pay
You may pay the assessment by ACH transfer, wire transfer, or check. Payment by ACH is encouraged.
Electronic payment
Please e-mail [email protected] for ACH and wire transfer instructions.
Note: If you pay by ACH or wire transfer, you will not be credited with payment unless you complete and submit the ACH/Wire Payment Voucher form.
Check
Make checks payable to the “Maryland Prescription Drug Affordability Board." Please provide the PDAB vendor ID number and “FY 2024 PDAB Fund" or enclose a copy of the assessment, and mail to:
Maryland Prescription Drug Affordability Board
16900 Science Drive, Suite 112-114
Bowie, MD 20715
Exemption requests
Requests Due: November 3, 2023
Exemption Requests are due by 11:59 PM, Eastern Time, on Friday, November 3, 2023. No late Exemption Requests will be Accepted.
Exemption request forms
Request for Exemption Form and Instructions - PDF - 119.3 KB
Certificate of Business Record Form - PDF - 58.29 KB
Affidavit in Support of Request for Exemption Form - PDF - 97.84 KB
Reconsideration of Denial of Exemption Request
A Request for Reconsideration may be submitted within 15 days of the denial of the request for exemption by submitting: (a) a request for reconsideration on the form provided; and (b) additional information or documentation in support of the claimed exemption.
A request for reconsideration that does not include additional information or additional documentation will be denied. If the request for exemption is denied after reconsideration, the entity shall pay the assessment within 30 days of the issuance of the notice of denial. COMAR 14.01.02.02C.
Request for Reconsideration Form - PDF - 116.21 KB
Certificate of Business Record Form - PDF - 58.29 KB
Affidavit in Support of Request for Exemption Form - PDF - 97.84 KB
Update your contact information
Complete the Contact Information/Change of Address form - PDF - 78.13 KB if any of your contact information has changed.