AA

Loading component...

Pharmacy provider resources

A one‑stop resource for Illinois providers, this page brings together key pharmacy tools and communications for Illinois providers. Use it to register, access the preferred formulary, clinical criteria, prior authorization requirements, and ongoing pharmacy updates. D-SNP and Medicare Advantage are covered under Medicare Part D. Please follow those specific applicable processes. For assistance with Medicaid and Marketplace, call Provider Services at (855) 866‑5462 or email MHILProviderNetworkManagement@MolinaHealthcare.com.

Getting started

Provider portal access

The provider portal gives you quick access to essential tools, including member eligibility verification, pharmacy prior authorization (PA) submission, authorization status checks, claims support, and up‑to‑date policies and clinical criteria. 

Log in to Availity Essentials or register as a new provider.

Pharmacy benefits overview

As a provider, you play a key role in ensuring members receive safe, clinically appropriate and cost‑effective medications. Molina supports your prescribing decisions by offering coverage for outpatient prescription drugs, select OTC medications when prescribed, specialty therapies and physician‑administered medications when included in the benefit plan. For detailed benefit coverage information, please review the plan’s benefit documents.

Provider resource categories

Loading component...

Loading component...