Pharmacy and Prescription Drugs
Molina Medicare covers a comprehensive list of drugs chosen for their effectiveness. We choose these drugs with help from a team of doctors and pharmacists. Your drugs are covered when you show your member ID card at a network pharmacy whenever you get your prescriptions filled.
The formulary is a list of covered drugs. Molina Medicare will generally cover any prescription drug listed in our formulary if:
- the drug is medically necessary,
- the prescription is filled at a Molina Medicare network pharmacy,
- and other plan rules are followed.
What drugs does Molina Medicare cover?
For the Prescription Drugs you may need:
Search the 2023 Formulary – Molina Medicare Choice Care (HMO)
Important Pharmacy & Prescription Benefits Documents
- Comprehensive Formulary
- Changes to the Formulary
- Medication Safety
- Transition Policy
- Rx Mail Order Form
- Prior Authorization Grid
2023 Step Therapy Grid - Molina Medicare Choice Care (HMO)
2023 Medicare Part D Drug (jcode) Step Therapy - Molina Medicare Choice Care (HMO)
What is step therapy?
In some cases, we require that you first try certain drugs to treat your medical condition before we will cover another drug for that same condition. For example, if Drug A and Drug B both treat the condition but Drug A costs less, you may need to try Drug A first. If Drug A doesn’t work for you, we’ll then cover Drug B.
- Out-of-Network Pharmacies
- Medication Therapy Management (MTM)
Check the Member Materials and Forms to see all the standard benefits offered by Molina Medicare.
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 (800) 665-3086, TTY: 711, 8 a.m. to 8 p.m., local time, 7 days a week.