It’s important to Magnolia Health that our members receive drug therapy that is appropriate, high quality and cost effective. We work hard to ensure you have access to safe and effective medications that are medically proven to help you get healthy and stay healthy.
What pharmacy benefits are covered?
Magnolia Health covers certain prescription drugs and over-the-counter drugs when prescribed by a Magnolia Health provider. The pharmacy program does not cover all drugs. Some require prior authorization. Some drugs have limitations on age, dosage or maximum quantities.
Universal Preferred Drug List
Magnolia uses a list of preferred and non-preferred medications called the Preferred Drug List (PDL). Non-preferred drugs on this list require prior authorization. The DOM reviews current, as well as, all new medications that can be added or changed from the PDL. This process is coordinated with Magnolia. For the most current PDL, you may call member services at 866-912-6285 (TDD/TTY: 877-725-7753).
How do I get my medications?
Where can I get my prescription filled?
To find a pharmacy that is in the Magnolia Health network, you can use the Find a Provider tool. Type in your city or zip code. Then click Update. Choose Other and type the name of your pharmacy. You can also select the pharmacy type in the Select Specialty area. Only those pharmacies in the Magnolia Health network are listed.
Call Member Services at (866) 912-6285 TDD/TTY (877)725-7753, if you have questions about:
• Drug-Drug Interactions
• A drug’s common side effects and significant risks
• Availability of a generic substitute