Molina has established Molina Clinical Policy that function as one of the sets of guidelines for coverage decisions or determinations. In this site, the Molina Clinical Policy is made accessible to you to guide you in your medical decisions. Please know that these Clinical Policies do not constitute plan authorization, nor is it an explanation of benefits.
For information about Molina pharmacy policies, contact the Pharmacy Department at:
Phone: (855) 866-5462
Fax: (855) 365-8112