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


Effective 4/1/23 - New York State (NYS) Medicaid members enrolled in mainstream Medicaid Managed Care (MMC) Plans, Health and Recovery Plans (HARPs), and Human Immunodeficiency Virus-Special Needs Plans (HIV-SNPs) will receive their pharmacy benefits through the NYS Medicaid Pharmacy Program (NYRx) instead of through Molina of New York. 

Molina Healthcare of New York Essential Plan 2024 Covered Drug List
Affinity by Molina Healthcare Essential Plan 2024 Covered Drug List

 Medicaid Medical Preferred Drug List

 Updated Guidance for Non-Enrolled Providers and Pharmacies

 Website Update Physician Dispensers Billing Update October 2022

 NYRx Pharmacy Benefit Transition for MMC and HARP Members

 CHP Searchable Formulary Link


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


icon PDFVaccine Coverage and Billing Guide for Pharmacies


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