Drug Formulary

 2026 Molina Complete Care for MyCare Ohio (HMO D-SNP) Drug Formulary

 2026 Prior Authorization Grid

 2026 Step Therapy Grid

 2026 Medicare Part D Drug (J-Code) Step Therapy Grid

 2026 Request for Medicare Prescription Drug Coverage Determination

 2026 Request for Redetermination of Medicare Prescription Drug Denial

 2026 Direct Member Reimbursement Form

 

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