Pharmacy Information

Pharmacy

For Pharmacy forms, please go to our forms page

Preferred Drug List
Prior Authorizations

Molina’s decisions are based upon the information included with the PA request. Clinical notes are recommended.

Pharmacy Prior Authorization Form
Real-Time Prescription Benefits Access and Onboarding Handbook
Real-Time Prescription Benefits Information at the Point of Care
Step Therapy

In some cases, Molina Healthcare requires members to first try certain drugs to treat their medical condition before we will cover another drug for that condition. For example, if Drug A and Drug B both treat the member’s medical condition, Molina Healthcare may not cover Drug B unless you try Drug A first. If Drug A does not work for the member, Molina Healthcare will then cover Drug B.