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Prescription Drugs

2019 Prescription Drugs

Prescription medications are covered when:

 
Formulary Generic Medications
Formulary Generic drugs are those listed in the Molina Healthcare Drug Formulary that have the same ingredients as brand name drugs. To be FDA (government) approved, the generic drug must have the same active ingredient, strength and dosage (formulation) as the brand name drug.  If your doctor orders a brand name drug and there is a Formulary Generic drug available, we will cover the generic medication.

Formulary Preferred Brand Name Drugs
Formulary Preferred Brand Name drugs are those drugs listed which, due to clinical effectiveness and cost differences, are designated as “Preferred” in the Molina Healthcare Drug Formulary.  Formulary Preferred Brand Name drugs are prescription drugs or medicines that have been registered under a brand or trade name by their  manufacturer and are advertised and sold under that name, and indicated as a brand in the Medi-Span or similar third party national database used by Molina Healthcare and our pharmacy benefit manager.
 
Formulary Non-Preferred Brand Name Drugs
Formulary Non-Preferred Brand Name drugs are those drugs listed in the Molina Healthcare Drug Formulary which are designated as “Non-Preferred” due to lesser clinical effectiveness and cost differences.   Formulary Non-Preferred Brand Name drugs are prescription drugs or medicines that have been registered under a brand or trade name by their  manufacturer and are advertised and sold under that name, and indicated as a brand in the Medi-Span or similar third party national database used by Molina Healthcare and our pharmacy benefit manager.
 
Specialty Oral and Injectable Drugs
Specialty drugs are prescription legend drugs within the Molina Healthcare Drug Formulary which:
  • Are only approved to treat limited patient populations, indications or conditions; or
  • Are normally injected, infused or require close monitoring by a physician or clinically trained individual; or
  • Have limited availability, special dispensing, handling and delivery requirements, and/or require additional patient support, any or all of which make the drug difficult to obtain through traditional pharmacies.
 
Molina Healthcare may require that Specialty drugs be obtained from a participating specialty pharmacy or facility for coverage.  Molina Healthcare’s specialty pharmacy will coordinate with you or your physician to provide delivery to either your home or your provider’s office.
 
How do members get care?
Call Member Services at (888) 858-3973, Monday to Friday, 9:00 a.m. - 5:00 p.m. local time if: 
 
  • You need to ask about a drug
  • You have trouble getting a prescription filled at the pharmacy (Please do not pay for the prescription)
    • Prescriptions are covered through Molina Healthcare’s contracted pharmacies within Utah
    • Prescriptions are covered outside of the state of Utah (out of area) for emergency or urgent services only
    • You need an interpreter to communicate with the pharmacy about getting your medication
  • If you are deaf or hard of hearing, call our TTY line at (800) 346-4128 or contact us through the National Relay Service by dialing 711.
  • You can also complete a Mail Service Order Form

Find a Pharmacy.​​​​​

2020 Prescription Drugs

Drug benefits are provided by CVS Caremark.

To view the Drug Formulary and plan-specific Drug Look-Up tool, visit the View Plans page.

Mail order availability of Formulary Prescription Drugs
Molina offers You a mail order drug benefit on most of our formulary long term use drugs. Formulary Prescriptions drugs can be mailed to You within 10 days from order request and approval. Cost Sharing for up to a 90-day supply is two times Your appropriate Copayment or Percentage Cost Sharing based on Your drug tier for one month.

You may request mail order service in the following ways:

  • You can also complete a Mail Service Order Form
  • You can call the FastStart® toll-free number at 1 (800) 875-0867. Provide Your Molina Marketplace Member number (found on Your ID card), Your prescription name(s), Your doctor’s name and phone number, and Your mailing address.
  • You can give Your doctor’s office the toll-free FastStart® physician number 1 (800) 378-5697, and ask Your doctor to call, fax, or electronically prescribe Your prescription. To speed up the process, Your doctor will need Your Molina Marketplace Member number (found on Your ID card), Your date of birth, and Your mailing address.

How do members get care?
Call Member Services​ if

  • You need to ask about a drug.
  • You have trouble getting a prescription filled at the pharmacy. (Please do not pay for the prescription.)
    • Prescriptions are covered through Molina Healthcare’s contracted pharmacies within your service area. Prescriptions are covered outside of service ar​ea for emergency or urgent services only.
    • You need an interpreter to communicate with the pharmacy about getting your medication.
  • If you are deaf or hard of hearing, contact us through the National Relay Service by dialing 711.


Click here to find a pharmacy.​

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​Language Information

If you, or someone you’re helping, has questions about Molina Marketplace, you have the right to get help and information in your language at no cost. To talk to an interpreter, call 1-888-858-3973.

Información de idioma

Si usted, o alguien a quien usted está ayudando, tiene preguntas acerca de Molina Marketplace, tiene derecho a obtener ayuda e información en su idioma sin costo alguno. Para hablar con un intérprete, llame al 1-888-858-3973

语言信息

如果您,或是您正在協助的對象,有關於[插入 項目的名稱 Molina Marketplace 方面的問題,您有權利免費以您的母語得到幫助和訊息。洽詢一位翻譯員,請撥電話 [在此插入數字 1-888-858-3973。

Thông Tin Ngôn Ngữ

Nếu quý vị, hay người mà quý vị đang giúp đỡ, có câu hỏi về Molina Marketplace, quý vị sẽ có quyền được giúp và có thêm thông tin bằng ngôn ngữ của mình miễn phí. Để nói chuyện với một thông dịch viên, xin gọi 1-888-858-3973.

​언어 정보

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भाषा जानकारी

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Ma'u'anga Fakamatala

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Jezik informacije

Ukoliko Vi ili neko kome Vi pomažete ima pitanje o Molina Marketplace, imate pravo da besplatno dobijete pomoć i informacije na Vašem jeziku. Da biste razgovarali sa prevodiocem, nazovite 1-888-858-3973.

Impormasyon sa Wika

Kung ikaw, o ang iyong tinutulangan, ay may mga katanungan tungkol sa Molina Marketplace, may karapatan ka na makakuha ng tulong at impormasyon sa iyong wika ng walang gastos. Upang makausap ang isang tagasalin, tumawag sa 1-888-858-3973.

Sprachinformation

Falls Sie oder jemand, dem Sie helfen, Fragen zum [Molina Marketplace] haben, haben Sie das Recht, kostenlose Hilfe und Informationen in Ihrer Sprache zu erhalten. Um mit einem Dolmetscher zu sprechen, rufen Sie bitte die Nummer 1-888-858-3973 an.

​Информация о языках

Если у вас или лица, которому вы помогаете, имеются вопросы по поводу Molina Marketplace, то вы имеете право на бесплатное получение помощи и информации на вашем языке. Для разговора с переводчиком позвоните по телефону 1-888-858-3973.

معلومات اللغة

إن كان لديك أو لدى شخص تساعده أسئلة بخصوص Molina Marketplace ، فلديك الحق في الحصول على المساعدة والمعلومات الضرورية بلغتك من دون اية تكلفة. للتحدث مع مترجم اتصل بـ 3973-858-888-1 .

សេវាកម្មភាសា

ប្រសិនបរើអ្នក ឬនរណាម្នក់ដែលអ្នកកំពុងដែជយ ម្ននសំណរអ្ំពី Molina Marketplace បេ, អ្នកម្ននសិេេេួលជំនយនិងព័ែ៌ម្នន បៅកនុងភាសា ររស់អ្នក បោយមិនអ្ស់ប្ាក់ ។ បែើមបីនិយាយជាមយអ្នករកដប្រ សូម 1-888-858-3973 ។

​Informations sur la langue

Si vous, ou quelqu'un que vous êtes en train d’aider, a des questions à propos de Molina Marketplace, vous avez le droit d'obtenir de l'aide et l'information dans votre langue à aucun coût. Pour parler à un interprète, appelez 1-888-858-3973.

言語情報

ご本人様、またはお客様の身の回りの方でも、Molina Marketplace についてご質問がございまし たら、ご希望の言語でサポートを受けたり、情報を入手したりすることができます。料金はか かりません。通訳とお話される場合、1-888-858-3973 までお電話ください。

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