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Yes. Apple Health (Medicaid) pays for drugs that are preferred on the Apple Health Preferred Drug List. What is a preferred drug list? A preferred drug list (PDL) is a list of drugs that Apple Health will pay for, usually without prior authorization.
Prescription drugs are covered by Molina Healthcare, via our pharmacy vendor, CVS Caremark. A list of in-network pharmacies is available on the molinaheathcare.com website, or by contacting Molina Healthcare. Members must use their Molina Healthcare ID card to get prescriptions filled.
(Please do not pay for the prescription.) Prescriptions are covered through Molina Healthcares contracted pharmacies within your service area. Prescriptions are covered outside of service area for emergency or urgent services only. You need an interpreter to communicate with the pharmacy about getting your medication.
Molina Healthcare covers Adderall for patients with a confirmed diagnosis of Attention Deficit Hyperactivity Disorder (ADHD) or narcolepsy by a qualified healthcare provider.
Call your insurer directly to find out what is covered. Have your plan information available. The number is available on your insurance card the insurers website, or the detailed plan description in your Marketplace account. Review any coverage materials that your plan mailed to you.
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Prescriptions are covered through Molina Healthcares contracted pharmacies within your service area. Prescriptions are covered outside of service area for emergency or urgent services only. You need an interpreter to communicate with the pharmacy about getting your medication.
Work with your healthcare provider to submit a prior authorization request if Molina Healthcare requires one for Ozempic. Ensure all necessary documentation, such as medical history and justification for using Ozempic, is included in the submission.
Nearly all health plans cover medically necessary prescription drugs. Health plans usually have a list of drugs they have already approved for coverage. This list is called a formulary. Health plans often place drugs into different drug tiers on the formulary.

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