Drug Formulary

 Please familiarize yourself with the Drug Formulary as you prescribe medications for Molina Healthcare members. Thank you for your cooperation.

Managed Medical Assistance (MMA) Preferred Drug List (PDL)

If you are a provider for the MMA Program please click this link:

Preferred Drug List

Quarterly P&T PDL Changes


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 2020 MMA/LTC Over-The Counter Formulary & Order Form (Eff: 01/01/20)

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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