Prescription Drugs

Drug benefits are provided by CVS Caremark.

To view the Drug Formulary, visit the Forms and Documents page.

To view the plan-specific Drug Look Up tool, select “Drug Look Up” in the top menu bar and select your plan.

List of Formulary Changes

 

Changes to the formulary and/or cost shares may occur each year. Changes effective January 1st are included on the Formulary Changes Grid.

 

Mail order availability of Formulary Prescription Drugs

Molina offers You a mail order drug benefit on most of our formulary long term use drugs. Formulary Prescriptions drugs can be mailed to you within 10 days from order request and approval.

• For a 90-day supply, the applicable Copayment or Percentage Cost Sharing amount is three times the cost of a one-month supply (the member pays the cost of 3 months for a 90-day supply).

You may request mail order service in the following ways:

• Mail order forms are also available on Molinamarketplace.com under Member Forms & Documents.
• You can call the FastStart® toll-free number at 1 (800) 875-0867. Provide your Molina Marketplace Member number (found on your ID card), your prescription name(s), your doctor’s name and phone number, and your mailing address.
• You can give your doctor’s office the toll-free FastStart® physician number 1 (800) 378-5697, and ask your doctor to call, fax, or electronically prescribe your prescription. To speed up the process, your doctor will need your Molina Marketplace Member number (found on your ID card), your date of birth, and your mailing address.
• You may also use Kroger Postal Prescription Services (PPSRX) by calling 1-800-552-6694 or visiting ppsrx.com for additional mail order options.