Pharmacy and Prescription Drugs
You get prescription drugs at no cost to you. We cover your medically necessary medicines when filled at a Molina network pharmacy. We also cover some over-the-counter (OTC) medicines with a prescription from your provider.
Molina is required to use the New Mexico Medicaid state-prescribed list of covered drugs called Preferred Drug List (PDL). A team of doctors and pharmacists update this regularly. They use recommendations from national organizations and experts to make decisions on preferred and non-preferred drugs. They want to make sure the drug on the list is safe and helpful for you, and that it is cost-effective for the Heritage Health program.
The pharmacy program does not cover all medications.The formulary lists of the drugs covered by your plan. The PDL gives you facts about a drug and lists any restrictions. The PDL also includes both generic and brand-name drugs. Generic drugs are drugs that have the same dosage, safety, strength and intended use as a brand-name drug. They usually cost less than brand-name drugs.
Certain drugs on the PDL, and those not on our PDL, require a Prior Authorization (PA). For those drugs that require PA, your provider will need to send us a Prior Authorization Request. Prior Authorization requests for covered services will be reviewed and approved if medically necessary to treat your condition.
To fill your prescriptions, you must use a Molina network pharmacy. Be sure to take your member ID card with you and remember to fill your prescriptions before you travel out of state.
To find a network pharmacy, see our Provider Directory or you can contact Member Services. You can see all the covered drugs on the formulary at:
New Mexico Turquoise Care Preferred Drug List | PDL | PDL Listings
The formulary is subject to change so please check the formulary list when you need to fill or refill a medicine.
Find a Molina Healthcare (Molina) provider or pharmacy.
It’s important to choose the right providers and pharmacies when you or a loved one needs care. Use our Molina online provider search tool to find providers and pharmacies. You can search by name, specialty, language and more.