Drug Formulary

2022 Molina Medicare Options Plus HMO D-SNP Formulary

2022 Molina Medicare Complete Care Select HMO D-SNP Formulary

Click here if one of your patients is looking for the Coverage Determination Request Form, the Pharmacy Direct Member Reimbursement Form or other member forms.

SureScript Real-Time Prescription Benefits

The following documents provide information pertaining to the CVS SureScript Real-Time Benefits now available to providers.