Molina Healthcare of Washington Medicaid Preferred Drug ...

January 2018 Molina Healthcare of Washington Medicaid Preferred Drug List ( formulary ) Molina Healthcare of Washington Medicaid Preferred Drug List ( formulary ) (01/01/ 2018 ) INTRODUCTION .. 4 PREFACE .. 4 PHARMACY AND THERAPEUTICS (P&T) COMMITTEE .. 4 DRUG LIST PRODUCT DESCRIPTIONS .. 4 PRESCRIPTION QUANTITIES .. 4 GENERIC SUBSTITUTION .. 4 PLAN DESIGN .. 5 PRIOR AUTHORIZATION REQUEST PROCEDURE .. 5 PRIOR AUTHORIZATION HELPFUL HINTS .. 5 NON-COVERED MEDICATIONS .. 5 CARVED-OUT MEDICATIONS (MEDICATIONS COVERED UNDER THE APPLE HEALTH FEE-FOR-SERVICE PROGRAM).

5 INTRODUCTION We are pleased to provide the 2018 Molina Healthcare of Washington Medicaid Preferred Drug List (Formulary) as a useful reference and informational tool. This document can assist medical providers in selecting clinically-appropriate and cost-effective

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