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Members

Formulary (List of Covered Drugs)

Brand new name, same great care!

Starting January 1, 2020, Healthy Advantage Plus (HMO) will be called Molina Medicare Choice Care (HMO), and Molina Medicare Options Plus (HMO SNP) will be called Molina Medicare Complete Care (HMO SNP). Even though the name is changing, Molina will continue to provide the same great care because you’re important to us!

UT Healthy Advantage Message: Beginning January 1, 2020, our Healthy Advantage (HMO SNP) Plan will be consolidated into an enhanced Molina Medicare Complete Care (HMO SNP) in Davis, Salt Lake, Utah, and Weber Counties. Existing Molina members enrolled in the Healthy Advantage (HMO SNP) Plan will automatically be enrolled into this program and no action is required to maintain coverage. Please refer to our 2020 Molina Medicare Complete Care (HMO SNP) member materials for benefit information. Member Services agents are available at (800) 665-1328 or TTY/TTD: 711 from 8:00 am – 8:00 pm, 7 days a week to answer any questions about this transition.

For the Prescription Drugs you may need:
Search the 2019 Formulary (Healthy Advantage Plus)
Search the 2019 Formulary (Molina Medicare Options Plus/Healthy Advantage)

For the Prescription Drugs you may need:
Search the 2020 Formulary (Molina Medicare Choice Care (HMO))
Search the 2020 Formulary (Molina Medicare Complete Care (HMO SNP))​

Molina Medicare will generall​y cover any prescription drug listed in our formulary as long as:

  • the drug is medically necessary,
  • the prescription is filled at a Molina Medicare network pharmacy,
  • and other plan rules are followed.

Healthy Advantage will generally cover any prescription drug listed in our formulary as long as:

  • the drug is medically necessary,
  • the prescription is filled at a Healthy Advantage network pharmacy,
  • and other plan rules are followed.
     

Can the Formulary Change?

We may add or remove drugs from the formulary during the year. 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 30 days before the date that the change becomes effective. However, if a drug is removed from our formulary because the drug has been recalled from the market, we will not give 30 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.

 The files below are in PDF format. (icon PDF)

Molina Medicare Options Plus (HMO SNP)

For more information on covered drugs and how to fill your prescriptions, including obtaining prescriptions at Out-of-Network pharmacies (PDF) | Out-of-Network pharmacies Molina Medicare Complete Care (Coming Soon) and how to get a temporary supply of drugs as a new member see transition policy PDF. You can ask Molina Medicare to make an exception to our coverage rules by completing the Coverage Determination Request form or the Drug Determination Request Form see (Forms Page).

Healthy Advantage (HMO SNP)

For more information on covered drugs and how to fill your prescriptions, including obtaining prescriptions at Out-of-Network pharmacies (PDF) and how to get a temporary supply of drugs as a new member see transition policy PDF. You can ask Molina Medicare to make an exception to our coverage rules by completing the Coverage Determination Request form or the Drug Determination Request Form see (Forms Page).

Healthy Advantage Plus (HMO)

For more information on covered drugs and how to fill your prescriptions, including obtaining prescriptions at Out-of-Network pharmacies (PDF) | Out-of-Network pharmacies Molina Medicare Choice Care (Coming Soon) and how to get a temporary supply of drugs as a new member see transition policy PDF. You can ask Molina Medicare to make an exception to our coverage rules by completing the Coverage Determination Request form or the Drug Determination Request Form see (Forms Page).

     

Plan Materials

Molina Medicare Options Plus   |  Healthy Advantage   |  Healthy Advantage Plus

PDF Adobe Acrobat Reader is required to view the file(s) above. Download a free version.​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​

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