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
- December 2024
- 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. Molina Healthcare offers a $65.00 over-the-counter (OTC) benefit per household per month for non-pregnant members; $70 OTC benefit per household per month for pregnant members. This is for specific over-the-counter items purchased at a pharmacy that is part of Molina. To get more info, call our Member Services Department at 1-866-472-4585 (TTY 711).
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
