WA Choice Message: Beginning January 1, 2019, our Molina Medicare Choice (HMO SNP) Plan will be consolidated into an enhanced Molina Medicare Options Plus (HMO SNP) in Pierce and Snohomish Counties. Existing Molina members enrolled in the Molina Medicare Choice (HMO SNP) Plan will automatically be enrolled into this program and no action is required to maintain coverage. Please refer to our 2019 Molina Medicare Options Plus (HMO SNP) member materials for benefit information. Member Services agents are available at (800) 665-1029 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:
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 (888) 665-1328, TTY 711, 7 days a week, 8:00 am to 8:00 pm local time, for additional information or visit www.MolinaHealthcare.com/Medicare
The formulary is a list of covered drugs. Molina Medicare will generally 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.
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 60 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 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.
For more information on covered drugs and how to fill your prescriptions, including obtaining prescriptions at Out-of-Network Pharmacies Molina Medicare Options Plus (PDF) | Out-of-Network Pharmacies Molina Medicare Choice (PDF) | Out-of-Network Pharmacies Molina Medicare Options (PDF) and how to get a temporary supply of drugs as a new member (see Transition Policy below). 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).
The files below are in PDF format. ()
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