Pharmacy
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
To download the Iowa HHS Medicaid PDL updated 7/1/2025, please click here: HHS Iowa Medicaid Program PDL
To download Molina's Medical PDL updated 7/1/2025, please click here: Medical Physician Administered PDL
- Prior Authorizations
Molina’s decisions are based upon the information included with the PA request. Clinical notes are recommended.
- Step Therapy
Plan restrictions for certain Formulary drugs may require that other drugs be tried first. Iowa Medicaid’s Preferred Drug List (PDL) designates which drugs require step therapy. Drug samples from Providers or manufacturers are not considered as meeting step therapy requirements or as justification for exception requests.
- Drug Recalls
For a list of recalled drugs please refer to the FDA Drugs Recalled page. Please refer to the Iowa Medicaid Provider Manual and Iowa HealthLink Informational Letters for more detailed information on pharmacy benefits and limitations as well as updates to the Medicaid program.
Drug Recalls | FDA
Prescribed Drugs Provider Manual (iowa.gov)
Informational Letters | Iowa Medicaid PDL