Pharmacy Provider resources in Wisconsin

This page provides centralized access to: 

• Training, resources and provider registration
• Pharmacy benefits overview 
• Drug Formulary and formulary tools
• Prior Authorization (PA) processes 
• Step therapy requirements 
• Drug recalls and safety notices 
• Policies

Medicaid

For Wisconsin Medicaid SSI and BadgerCare Plus members, prescriptions and certain over-the-counter items are provided by the Wisconsin Department of Health Services, not Molina Healthcare.

If you have any question in regard to pharmacy coverage for Medicaid members in Wisconsin, please call the state directly at (800) 362-3002.

Family Care and Family Care Partnership

For pharmacy information related to Wisconsin Family Care and Family Care Partnership members, please visit mychoicewi.org/providers.

Medicare Dual Advantage and Partnership

For pharmacy information related to My Choice Wisconsin Medicare Partnership and Dual Advantage members, please visit mychoicewi.org/providers.

Getting Started

Availity provider portal access

The Availity provider portal gives you quick access to essential tools, including member eligibility verification, pharmacy PA submission, authorization status checks, claims support and up‑to‑date policies.

Pharmacy tools

Login into Availity provider portal

Register as a new provider

Pharmacy benefits overview

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 over‑the‑counter 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