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.
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
2024 Essential Plan Formulary
Pharmacy COVID Billing Guidance
Molina Provider COVID Billing Guidance
COVID-19 Vaccine Counseling Pharmacy Billing Guidance
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
Vaccine Coverage and Billing Guide for Pharmacies
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