Provider pharmacy resources in Massachusetts

This page provides centralized access to:

• Quick access to training, resources, and provider registration.
• Pharmacy benefits overview.
• Preferred Drug List (PDL) and formulary tools.
• Prior Authorization processes.
• Clinical criteria and step therapy requirements.
• Specialty drug and physician-administered drug guidance.
• Drug recalls and safety notices.
• Policies.
• Vision and dental carve-outs.

Getting started

Provider portal access

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

Pharmacy tools

Log in to Availity provider portal

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.