For Pharmacy forms, please go to our forms page

  • Drug Formulary

    Molina Healthcare of Iowa is in alignment with Iowa Medicaid’s Preferred Drug List (PDL). The list shows all the prescription and over-the-counter products Members can get from a pharmacy. Some medications require prior authorization (PA) or have limitations on age, dosage and/or quantities. Molina Healthcare of Iowa complies with all of Iowa Medicaid’s criteria found within the comprehensive PDL

    icon Preferred Drug List

    icon Machine Readable Preferred Drug List