Drug Formulary

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

Molina Healthcare Preferred Drug List (PDL)
icon PDF Molina Healthcare of NY COVID test billing guidance
icon PDF  2021 Medicaid Formulary
icon PDF 2021 Essential Plan Formulary
icon PDF 2019 Behavioral Health Formulary Updates

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 PDF Vaccine Coverage and Billing Guide for Pharmacies

 

adobe Adobe Acrobat Reader is required to view the file(s) above. Download a free version.