Molinalogo

For Pharmacy forms, please go to our forms page

Preferred Drug List

Please familiarize yourself with the Preferred Drug List as you prescribe medications for Molina Healthcare beneficiaries. Thank you for your cooperation.

 Preferred Drug List. Also available is the machine-readable JSON file 

Single Preferred Drug list (sPD) web announcement

Physician Administered Preferred Drug List - this list of medications is preferred under the medical benefit. 

Physician Administered Drug Clinical Coverage Policies 

Prior Authorizations

Molina’s decisions are based upon the information included with the PA request. Clinical notes are recommended.

 Pharmacy Prior Authorization Form

 Real-Time Prescription Benefits Access and Onboarding Handbook 

  Real-Time Prescription Benefits Information at the Point of Care

Prior Authorization Criteria:

Step Therapy

In some cases, Molina Healthcare requires members to first try certain drugs to treat their medical condition before we will cover another drug for that condition. For example, if Drug A and Drug B both treat the member’s medical condition, Molina Healthcare may not cover Drug B unless you try Drug A first. If Drug A does not work for the member, Molina Healthcare will then cover Drug B.