Strong MeV emission in the MeV Blazar sub-class is investigated as evidence
of efficient electron-positron pair creation coupled with production of in
tense annihilation lines. The X and high energy gamma-ray spectra are produ
ced by Inverse Compton scattering of soft accretion disk photons by a relat
ivistic non-thermal pair population. The relativistic particles are acceler
ated in the inner region of a sub-relativistic electron-proton plasma launc
hed from a magnetized accretion disk. As continously re-accelerated the pai
rs do not cool, and no thermal pair plasma is expected, Opacity to pair pro
duction explains the spectral break observed between X and gamma-ray spectr
a. Annihilation of non-thermal pairs explains the MeV excess. Fits of PKS 0
208-512, a well-observed MeV Blazar, are provided. Different sources of var
iability mainly associated to transient pair production regimes are propose
d to be tested by INTEGRAL.