Labeler Reference for NDCs included under the Medicaid Drug Rebate Program
Labeler Reference for NDCs included under the Medicaid Drug Rebate Program
MHP Monthly MDRP Labeler List
*The links below are in PDF format (
):
Machine-Readable Common Formulary
For a machine-readable common formulary please click here.
NEW! Preferred Drug List Search Tool
Use our preferred drug list search tool to:
- Search for your medicine by name.
- Find generic alternatives to your medicine.
- See if your medicine has quantity limits, has age limits, or requires Prior Authorization.
- Searchable Formulary
A hard copy of the current Drug Formulary (which includes the Prior Authorization process) is available upon request. Please call 1-855-322-4077 to request a copy
EZ Rx Issues
Adobe Acrobat Reader is required to view the file(s) above.Download a free version.
At Molina Healthcare of Michigan, we administer pharmacy benefits based on the Michigan Medicaid Common Formulary, which is developed and maintained by the Michigan Department of Health and Human Services (MDHHS). This formulary is used by all Medicaid health plans across the state to ensure consistency in coverage.
While Molina follows the state-mandated formulary, we truly value your clinical insight. Your feedback plays an important role in informing future updates to Medicaid pharmacy policy through MDHHS’s public comment process.
We recognize that providers may have valuable input on topics such as:
- Coverage of specific drug products (new or existing)
- Prior authorization or step therapy requirements
- Formulary inclusion or exclusion concerns
MDHHS offers a formal public comment process where providers, pharmacists, and other stakeholders can share feedback that may help shape future formulary decisions.
You can learn more and submit feedback through the following links:
"Your clinical insights matter. While Molina follows the state-mandated formulary, your feedback submitted through the MDHHS process helps inform future updates that impact all Michigan Medicaid members."
Submit comments to:
Bureau of Medicaid Care Management & Customer Service
Michigan Department of Health and Human Services
P.O. Box 30479, Lansing, MI 48909-7979
Phone: 517-245-2758
Fax: 517-763-0142
Email: MDHHSCommonFormulary@michigan.gov
Link to Task: Planner - Provider Survey: Pharmacy Follow Up
Note: As of 9/30/2016, Molina Healthcare transitioned to Michigan's Common Drug Formulary.
To access the Michigan Common Formulary on the MDHHS website please click here.
To view a copy of the Common Formulary Fax Communication, please click here.
The Michigan Department of Health and Human Services (MDHHS) has implemented a formulary that is common across all Medicaid health plans. The purpose of the Common Formulary is to:
- Promote continuity of care
- Reduce interruptions in a beneficiary's drug therapy due to a change in health plan
- Streamline drug coverage policies and reduce administrative burden for providers
- Facilitate collaboration among health plans
To access the Michigan Common Formulary on the MDHHS website please click here: www.michigan.gov/mcopharmacy
Pharmacy providers should go to CVS/Caremark for network and processing information. For BIN/PCN, please see the Member ID Card shown below.


Did you know?
Electronic prescribing (e-Prescribing or eRx) is a fast, efficient way to write/re-order and transmit prescriptions. e-Rx has pre-set fields so all the required information for prescriptions are entered and automatically stored in the patient's record for easy review during follow-up visits or for transitions to other providers. e-Prescribing increases overall patient satisfaction because the prescriptions can be automatically transmitted to a pharmacy of preference.