Type Size:
We use cookies on our website. Cookies are used to improve the use of our website and analytic purposes. By using our website, you consent to our use of cookies in accordance with our Privacy Policy. Read more . I agree
Members

Prescription Drugs

Hand holding medicine

The drug formulary is a list of covered drugs. Molina Healthcare will generally cover any prescription drug listed in our formulary as long as:​

 

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

 

Drug Formulary
To view the Molina Healthcare of Illinois Drug Formulary for your plan, please click below.


Drug 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 (877) 901-8181, TTY 711, Monday - Sunday, 8:00 a.m. to 8:00 p.m. local time.

Can the Formulary Change?

 

  • We may add or remove drugs from the formulary during the year. View Drug Formulary Updates here.
  • 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. Exceptions for Out-of-Network (OON) Coverage

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. 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. Read more about our Medication Safety Policy​.

Click here to view Prescription Drug forms​

How do members get care?

 

 

For more information, you can call Member Services.

 

Plan Materials

English  |  Español

*Printed copies of information posted on our website are available upon request.
icon PDF Adobe Acrobat Reader is required to view the file(s) above. Download a free version.​​ 

  ​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​

You are leaving the Molina Medicare product webpages and going to Molina’s non-Medicare web pages. Click Ok to continue.

This link will take you away from the Dual Options section of MolinaHealthcare.com

You are about to leave the Molina healthcare website. Click Ok to continue.

This link will take you away from the Dual Options section of MolinaHealthcare.com

You are leaving the Molina Medicare product webpages and going to Molina’s non-Medicare web pages. Click Ok to continue.

You are leaving the Molina Healthcare website. Are you sure?

This information is for Doctors and
Health Care Professionals only.

X Please wait. Illinois info is loading. Cancel