Drug Formulary
2026 Molina Medicare Choice Care (HMO)
2026 Molina Medicare Complete Care Plus (HMO D-SNP) - Northwestern Counties
2026 Molina Medicare Complete Care Plus (HMO D-SNP) - Central Counties
2026 Molina Medicare Complete Care Plus (HMO D-SNP) - Southern Counties
2026 Molina Medicare Complete Care Plus (HMO D-SNP) - Cook County
2026 Molina Medicare Complete Care Plus (HMO D-SNP) - Collar Counties
Changes to the Formulary
2026 Molina Medicare Choice Care (HMO)
2026 Molina Medicare Complete Care Plus (HMO D-SNP)
Additional Pharmacy Benefit Information
2026 Medicare Part D Drug (J-Code) Step Therapy Grid
Request for Medicare Prescription Drug Coverage Determination
Request for Redetermination of Medicare Prescription Drug Denial
Direct Member Reimbursement Form
Adobe Acrobat Reader is required to view the file(s) above. Download a free version.
