Magnolia Health Plan (Magnolia) is committed to providing appropriate, high quality, and cost effective drug therapy to all Magnolia members. Magnolia works with providers and pharmacists to ensure that medications used to treat a variety of conditions and diseases are covered. Magnolia covers prescription medications and certain over-the-counter medications when ordered by a Magnolia provider. The pharmacy program does not cover all medications. Some require prior authorization or some preferred as well as non-preferred medications have limitations such as:
- Maximum quantities
Preferred Drug List
The Magnolia Health Plan Preferred Drug List (PDL) is the list of covered drugs. The Magnolia PDL is continually evaluated by the Magnolia Health Plan Pharmacy and Therapeutics Committee to promote the appropriate and cost-effective use of medications.
Some medications listed on the Magnolia PDL may require prior authorization. All reviews are performed by a licensed clinical pharmacist using the criteria established by the Magnolia Health Plan P&T Committee. If Magnolia does not grant prior authorization, we will notify you and your patient and provide information regarding the appeal process. To request prior authorization for a medication listed on the Magnolia PDL, please call US Scripts at (800) 460-8988, or fill out the form below and follow the instructions provided on the document.
Pharmacy Benefit Manager
Magnolia works with US Script to deliver safe and cost effective therapeutics to cost effective medications to our members. We also work together to administer the prior authorization process. Certain drugs may require prior authorization prior to dispensing. Please refer to the Preferred Drug Listing on this site for additional information.
US Script Contact Information:
Prior Authorization Fax 1-866-399-0929
Prior Authorization Phone 1-800-460-8988
Clinical Hours Monday – Friday 9:00 am-7:00 pm
- Quick Reference Drug List (PDF)
- Abridged Preferred Drug List (PDF)
- Magnolia PDL Alternatives (PDF)
- US Script Medication PA Request Form (PDF)
- US Script Specialty Medication PA Form (PDF)
- US Script Enteral/Nutritional PA Request Form (PDF)
- Biopharmaceutical Pharmacy Program (PDF)
- Appropriate Use and Safety Edits (PDF)