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. Cost Sharing for up to a 90-day supply is two times you appropriate Copayment or Percentage Cost Sharing based on your drug tier for one month.

You may request mail order service in the following ways:

• You can also complete a Mail Service Order Form
• 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.