Pharmacy provider resources in New York

This page provides centralized access to:

• Quick access to training, resources, and provider registration
• Pharmacy benefits overview
• Preferred Drug List (PDL) and formulary tools
• Prior Authorization processes
• Physician-administered drug guidance
• Drug recalls and safety notices
• Policies
  
  

Getting Started

Availity Provider Portal Access

The Availity Provider Portal gives you quick access to essential tools, including member eligibility verification, medical prior authorization (PA) submission, authorization status checks, claims support, and up‑to‑date policies and clinical criteria. 

Log in to Availity Provider Portal

Register as a new provider

Pharmacy Benefits Overview

Medicaid (MMC, HARP)

As of April 1, 2023, pharmacy benefits for Medicaid members are administered by New York state’s NYS Medicaid Pharmacy Program (NYRx) and its Pharmacy Benefit Manager directly. The health plan does not administer them. Please see the NYRx website for pharmacy coverage details and Prior Authorization procedures.

NYRx Preferred Drug List

NYRx PDP Prior Authorization

NYRx Pharmacy Benefit Transition for MMC and HARP Members

New York Essential Plan & New York CHP

As a provider, you play a key role in ensuring members receive safe, clinically appropriate, and cost‑effective medications. Molina supports your prescribing decisions by offering coverage for outpatient prescription drugs, select OTC medications when prescribed, specialty therapies, and physician‑administered medications when included in the benefit plan. For detailed benefit coverage information, please review the plan’s benefit documents.