Preferred Drug List

Please familiarize yourself with the preferred drug list as you prescribe medications for Molina Complete Care (MCC) beneficiaries. Thank you for your cooperation.

MCC Preferred Drug List (PDL)

Preferred Drug List

MCC Clinical Criteria Guide

AHCCCS Acute and Long-Term Care Drug List

AHCCCS Acute and Long-Term Care Drug List

Preferred Diabetic Test Strips

icon Diabetic Testing Supply List (Coming Soon)


Prior Authorization Request Procedure

Click here to find the PDL Exception Request - Standardized Pharmacy Prior Authorization Form (Coming Soon).

Click here to find additional Prior Authorization Packets (Coming Soon)

What Drugs are Covered?

Drugs not preferred on the drug list require prior authorization. For prior authorization drugs, you can order a similar drug that is listed on the preferred drug list. You can also request an exception, so the non-preferred drug can be covered by the member’s benefit. If you have any questions, call Member Services at (800) 424-5891 Monday-Friday 8 a.m. to 6 p.m. MST.

MCC Hemophilia Drug Process:

1. Hemophilia drugs will pay through the pharmacy benefit
2. Pharmacies and Providers will be notified and educated on billing process to ensure seamless access to care
3. MCC will ensure that proper access is provided to our beneficiaries when a hemophilia prescription needs to be filled
4. MCC will notify AHCCCS when a beneficiary is identified in order to initiate the disenrollment process
5. MCC will provide coverage of the drug until disenrollment notification is received from AHCCCS

CVS Specialty Pharmacy

Click here to find a pharmacy: Find a Pharmacy 

 

Drug recalls

List of recalled drugs

Below is a list of drugs that have been recalled recently. For more information about a specific recall, please visit the Food and Drug Administration (FDA) website using the link provided with each drug. 

* Please note: By clicking on the links below, you will be leaving our website.

 

4/01/2021
PremierZen Platinum 5000, Triple SupremeZen Gold 3500
Dietary Supplement for male sexual enhancement

NANA Collection LLC
FDA Website

3/25/2021
Acyclovir Sodium Injection, 50 mg/mL, 10 mL and 20 mL
vials

Zydus Pharmaceuticals
FDA Website

3/31/2021
Thumbs Up 7, Shogun-X, Dietary Supplement for male
sexual enhancement

Nuri Trading LLC
FDA Website

3/25/2021
Dietary Supplement for Male Enhancement
Imperial
FDA Website

3/31/2021
Thumbs Up 7, Shogun, Krazy Night Dietary Supplement
for male sexual enhancement

Ummzy LLC
FDA Website

3/24/2021
Telmisartan Tablets, USP, 20 mg
Alembic
FDA Website

3/31/2021
Guanfacine Extended-Release Tablets 2mg
Apotex Corp.
FDA Website

3/24/2021
Antimicrobial Hand Sanitizer
Durisan
FDA Website

3/30/2021
Thumbs Up 7 Blue 69K Dietary Supplement for male
sexual enhancement

Bit & Bet LLC
FDA Website

3/24/2021
ChloraPrep 3 mL Applicator
ChloraPrep; BD ChloraPrep
FDA Website

3/29/2021
Thumbs Up 7 Dietary Supplement for male sexual
enhancement

Antoto-K
FDA Website

3/17/2021
Hand Sanitizer
Heal the World
FDA Website

3/26/2021
Premier Zen Dietary Supplement for male sexual
enhancement

Namoo Enterprice LLC
FDA Website

3/11/2021
Phenylephrine Hydrochloride Injection
Sagent Pharmaceuticals
FDA Website

03/09/2021
Spironolactone TB 25mg and 50mg
BRP Pharmaceuticals
FDA Website

 

 

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