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


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.

icon PDF 2022 Molina Healthcare Over-The-Counter Benefit Catalog

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


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