Pharmacy Services
Children’s Medical Services (CMS) Plan by Molina Healthcare will cover prescription medications listed on the Florida Agency For Health Care Administration (AHCA) Medicaid Preferred Drug List (PDL) once your child is enrolled. The PDL will include the medicines we prefer your child’s doctor prescribes, and it will reflect the medications covered by the plan.
Your child’s doctor will use the PDL to choose safe, effective treatments. The list will be reviewed regularly by medical and pharmacy experts to help ensure it includes the most appropriate options for your child’s care. If you have questions about a medication, you will talk with your child’s doctor or pharmacist.
To avoid delays at the pharmacy, always ask your child’s doctor whether a prescription is covered by CMS Plan. If it is not covered, ask whether it can be changed to a medication that is on the PDL. This helps ensure your child can get their medicine without interruption.
Dispensing Limits
Medications may be dispensed up to a maximum of 34-day supply for each new prescription refill or 100-day supply for select medications. A total of 80% of the days’ supply must elapse before the prescription can be refilled at a network pharmacy.
Covered Services
We will cover brand name and generic drugs. Generic drugs have the same ingredients as brand name drugs. They work the same. Sometimes, we may need to approve using a brand name drug before your child’s prescription is filled.
13 and Under Requirements:
Some drugs for children 13 and under will require a consent form (PDF).
- A parent or legal guardian will complete and sign this form
- The parent or legal guardian should fill out a separate form for each prescribed drug:
- Medicaid will no longer pay for these drugs without the signed form
- You and your child's doctor will need to provide a copy of the form to the pharmacy when required
Have Questions?
Member Services will help answer any questions at (800) 262-0750 (TTY: 711) Monday - Friday 8:00 a.m. - 7:00 p.m. local time. Your child's Care Manager will also help answer questions about services.
Get your prescriptions via mail-order
With this added benefit, you will have your child's medicines delivered to your home, at no cost. If you want more info, you will call Member Services department. They can help you sign up.
Shop for over the counter items
You will be able to order over-the-counter health and wellness products through CVS. You will order online, by phone or in store.
CMS Plan will have contracts with certain pharmacies. You will get your drugs at one of these pharmacies. You will click Find a Pharmacy to find the one closest to you.
Children’s Medical Services (CMS) Plan by Molina Healthcare of Florida will provide managed care services to our members. Molina Healthcare of Florida is a licensed Florida health plan. CMS Plan will provide free aids and services to people with disabilities, such as qualified sign language interpreters, written information in other formats (large print, audio, accessible electronic and other formats), and free language services to people whose primary language is not English, such as qualified interpreters and information written in other languages. This information will be available for free in other languages. Please contact Member Services at (800) 262-0750 (TTY: 711) Monday - Friday, 8:00 a.m. - 7:00 p.m. local time.