Ramirez was excellent in his start on April 20 in place of Jake Odorizzi. He gave up one run and two hits in five innings vs. the Tigers. If there is one concern with Ramirez, it's that he has given up three home runs in his past four appearances.
Miley is coming off a sensational outing in Cincinnati, where he went eight scoreless frames. The lefty's outing was the longest by a Baltimore starter this year.