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Drug Formulary

The Molina Healthcare of New Mexico Drug Formulary was created to help ensure that our members are able to receive a variety of clinically effective medications. Molina understands that drug therapy is an integral component of your patient's comprehensive treatment program. This list of covered medications is the cornerstone for a progressive program of managed care pharmacotherapy.

 
icon Preferred Drug List (Formulary)

INJECTABLE MEDICATIONS

Injectable/specialty drugs generally require prior authorization. Please complete the Molina Medication Prior Authorization Request Form found in the link below.

icon Drug Prior Authorization Request Form

Familiarizing yourself with the Molina Healthcare formulary will greatly assist in streamlining the medication use process. Please contact us at 1-888-884-9527 with any questions regarding the Molina Healthcare formulary or prior authorizations. Thank you for your cooperation.

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