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Drug Formulary

2019 Molina Dual Options MyCare Ohio Drug Formulary

Additional Pharmacy Benefit Information

2019 Pharmacy forms (including Prior Authorization Form)

2019 Prior Authorization Grid

2019 Step Therapy Grid

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Click here if one of your patients is looking for the Coverage Determination Request Form, the Pharmacy Direct Member Reimbursement Form or other member forms.​​​​​​​​​​​​​

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