Drug Formulary
Please familiarize yourself with the Drug Formulary as you prescribe medications for Molina Healthcare members. Thank you for your cooperation.
Preferred Drug List (PDL) & Rx Prior Authorization Forms
COVID OTC At-Home Tests
Enrollees must have a prescription to obtain an eligible OTC COVID-19 home test kit. NOTE: the following website lists all tests, however only those with 'Home' as an Authorized Setting will be covered: In Vitro Diagnostics EUAs - Antigen Diagnostic Tests for SARS-CoV-2 | FDA
Quarterly P&T PDL Changes
- September 2024
- June 2024
- March 2024
- December 2023
- October 2023
- June 2023
- March 2023
- January 2023
- October 2022
CVS Real Time Benefit Check
Diabetic Supplies
Over-the-Counter Benefit
Molina Healthcare offers an additional monthly over-the-counter benefit for members and their families. Each month, Molina Healthcare members have up to $25 to spend on select over-the-counter medications or other products at their local pharmacies.
Prescription Claims Processor
Molina has selected CVS Health as the Pharmacy Benefits manager (PBM) company to manage the prescription benefit for Molina members.
- Questions on processing claims, formulary status or rejected claims may be directed to the CVS Health Help Desk at (800) 364-6331.
- Membership and eligibility questions may be addressed by calling Molina Member Services at: (866) 472-4585.
- Provider-related questions may be addressed by calling Molina Provider Services at: (855) 322-4076
To find a Molina Healthcare participating pharmacy, please click on Find A Pharmacy
