Drug Formulary

 Please familiarize yourself with the Drug Formulary as you prescribe medications for Molina Healthcare members. Thank you for your cooperation.

Molina Healthcare and Affinity by Molina New York Preferred Drug Lists (PDL) and Formularies

Updated Guidance for Non-Enrolled Providers and Pharmacies

Website Update Physician Dispensers Billing Update October 2022

icon PDF  2022 Preferred Medicaid Drug List
icon PDF  2022 Essential Plan Formulary

Pharmacy COVID Billing Guidance

icon PDF Molina Provider COVID Billing Guidance
icon PDF COVID-19 Vaccine Counseling Pharmacy Billing Guidance
icon PDF NY COVID Vaccine Claims Submission reminder

Single Statewide Medication Assisted Treatment (MAT) Formulary

STARTING OCTOBER 1, 2021.The New York State Executive Budget for State Fiscal Year 2020-2021, in accordance to § 367-a (7) (e) of Social Services Law, enacts a statewide formulary for Opioid Antagonists and Opioid Dependence Agents for Medicaid Managed Care (MC) Plans and Medicaid Fee for Service (FFS) Program,  Under this statewide formulary (link provided below), Medicaid MC and FFS members will follow a single formulary, where preferred products and coverage parameters are consistent across the Medicaid Program.

For more information, please visit https://newyork.fhsc.com/providers/mat.asp.


To find a Molina Healthcare participating pharmacy, please click on Find A Pharmacy

Vaccines

icon PDFVaccine Coverage and Billing Guide for Pharmacies

 

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