ANNAPOLIS, Md. — Governor Wes Moore announced a groundbreaking partnership with SIRUM, the nation’s largest redistributor of surplus medications, on March 15, 2025, to enhance access to affordable prescription drugs for Marylanders. Through SIRUM’s nonprofit home delivery pharmacy, Good Pill, the initiative will expand operations across the state, targeting hundreds of thousands of residents struggling with high medication costs, particularly in counties like Anne Arundel and Charles, where healthcare access disparities persist.

“Our duty to be fiscally responsible doesn’t mean we forfeit our duty to ensure Marylanders can access health care,” Gov. Moore said, emphasizing Maryland’s leadership in drug affordability. The partnership builds on the state’s efforts, such as the Prescription Drug Affordability Board established in 2019, to prevent residents from choosing between medicine and essentials like food or housing. SIRUM’s Good Pill pharmacy will offer over 500 medications at $2 per month for most prescriptions, delivered directly to patients’ homes within 5-7 days in 90-day supplies.

Credit: Executive Office of the Governor of Maryland

SIRUM leverages technology to collect and redistribute unused, unexpired medications from community partners like clinics, nursing homes, and pharmacies. “Health care should be about making it easy for families to get the medications they need—not a complicated process of figuring out costs and coverage,” said SIRUM Co-Founder Kiah Williams. Marylanders facing high prescription costs, regardless of insurance status, can access Good Pill by checking available medications at goodpill.org, registering, and having their provider send prescriptions to the pharmacy.

In Anne Arundel County, where 15% of residents report difficulty affording medications (per 2023 Maryland Department of Health data), and Charles County, where rural areas face pharmacy deserts, the program could be transformative. For example, a 90-day supply of a common ADHD medication like Adderall, which can cost $300 uninsured, would drop to $6 through Good Pill, easing burdens for patients like Erica Miller, a Maryland advocate who shared, “Drugs don’t work if people can’t afford them… I thank the governor for bringing this potentially life-changing service to the state.”

Andy York, Executive Director of Maryland’s Prescription Drug Affordability Board, praised the partnership as an “incredible resource” for immediate relief. SIRUM plans to expand its donation network by collaborating with Maryland health institutions and community partners to raise awareness of Good Pill, ensuring accessibility in underserved areas. Maryland’s 6.5 million residents, with 12% uninsured or underinsured (per 2024 U.S. Census data), stand to benefit significantly, especially as national drug prices rose 5.2% in 2024, per CMS reports.

While the initiative is promising, challenges remain. The reliance on donated medications means supply inconsistencies could limit availability of certain drugs, and rural delivery logistics in Charles County, where 20% of residents live over 10 miles from a pharmacy, may delay access despite the 5-7 day promise. Posts on X reflect cautious optimism, with some users noting Good Pill’s potential to disrupt high-cost pharmacy models, while others question long-term sustainability. Maryland’s move sets a precedent, but its success will hinge on robust community outreach and consistent medication supply to truly bridge the affordability gap.


David M. Higgins II is an award-winning journalist passionate about uncovering the truth and telling compelling stories. Born in Baltimore and raised in Southern Maryland, he has lived in several East...

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