Prescription Drugs


The drug formulary is a list of covered drugs. Your Molina Dual Options plan will generally cover any prescription drug listed in our formulary as long as:  

  • The drug is medically necessary.
  • The prescription is filled at a Molina Healthcare network. pharmacy and other plan rules are followed.

Drug Formulary

To view the Molina Dual Options Drug Formulary for your plan, please click below. 

icon PDF 2022 Comprehensive Formulary

icon PDF Drug Formulary Updates

Drug Formulary Search

2022 Formulary Search

Please Note: Members can contact the plan for a printed copy of the most recent list of drugs or view the link below. You can contact our Pharmacy team at (855) 665-4627, TTY 711, Monday to Sunday, 8:00 a.m. - 8:00 p.m. local time.

Can the Formulary Change?

  • We may add or remove drugs from the formulary during the year. View icon PDF Drug Formulary Updates.
  • Changes in the formulary may affect which drugs are covered and how much you will pay when filling your prescription.
  • If we remove drugs from the formulary, or add prior authorizations, quantity limits and/or step therapy restrictions on a drug, and you are taking the drug affected by the change, we will notify you of the change at least 60 days before the date that the change becomes effective.
  • If a drug is removed from our formulary because the drug has been recalled from the market, we will not give 60 days notice before removing the drug from the formulary. Instead, we will remove the drug from our formulary immediately and notify members about the change as soon as possible.

Learn More About Your Pharmacy Benefits by Clicking on an Option Below:

Exceptions for Out-of-Network (OON) Coverage
Information on when Molina Healthcare will reimburse members for coverage charges incurred at out-of-network pharmacies.
icon PDF Exceptions for Out-of-Network (OON) Coverage (PDF)

Transition Policy
Information for new members in our plan who are taking drugs that aren’t on our formulary or that are subject to certain restrictions.
icon PDF 
Transition Policy

Quality Assurance
Managing Your Medications Is Important To Us
Molina Healthcare has established quality assurance measures and systems in order to make sure that medications are used in a safe and effective manner.
icon PDF Medication Safety Policy

Click here to view Prescription Drug forms.

How do Members Get Care?

  • You can visit your local pharmacy to fill your prescription.


For more information, you can call Member Services.


Plan Materials

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