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Pharmacy Prior Authorization Forms | Passport Health Plan by Molina Healthcare
  Pharmacy Prior Authorization Contact Information Pharmacy Benefit Drugs (MedImpact): KY Medicaid Universal PA Request Form – Pharmacy Benefit Phone: (800) 210-7628 Prior Authorization Call Center: ...
/providers/ky/medicaid/drug/Pharmacy-Prior-Authorization-Forms.aspx
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Prior Authorization Request Procedure
For Managed Medicaid & HARP members: Starting April 1, 2023, prescriptions will not be covered by Molina Healthcare. They will be covered by Medicaid NYRx, the Medicaid pharmacy program. Medicaid ...
/providers/ny/medicaid/drug/authorization.aspx
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Prior Authorization Request Procedure
  The Molina Healthcare Drug Formulary is a listing of preferred drug products eligible for reimbursement by Molina Healthcare. All medications are listed by generic name. The medications are organize...
/providers/ny/swh/drug/authorization.aspx
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Provider Toolkits and Resources
Care CoordinationAs medical practice becomes more complex and demanding, coordinating care between various providers involved in a patient’s care is a challenge. It is not unusual to hear from paitent...
/providers/wa/medicaid/resource/Provider-Toolkits-and-Resources.aspx
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Non-Participating Providers
As a healthcare provider who may serve Molina Healthcare members but is not currently in our provider network, we want to ensure you have the information you need for both you and your patients. Knowi...
/providers/ca/medicaid/comm/Non-Participating-Providers.aspx
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Frequently Used Forms
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/providers/nm/medicaid/forms/fuf.aspx
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Frequently Used Forms
Here you can find all your provider forms in one place. If you have questions or suggestions, please contact us. Authorizations / Utilization Management Forms Prior Auth LookUp Tool Prior Authorizatio...
/providers/nm/medicaid/forms/fuf.aspx
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Electronic Data Interchange (EDI)
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/providers/ia/medicaid/claims/edi.aspx
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Drug Formulary
 Please familiarize yourself with the Drug Formulary as you prescribe medications for Molina Healthcare members. Thank you for your cooperation. Preferred Drug List (PDL) & Rx Prior Authorization Form...
/providers/fl/medicaid/drug/formulary.aspx
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Frequently Used Forms
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/providers/sc/medicaid/forms/fuf.aspx