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.
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.
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 (Relay 711).
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.
Effective January 1, 2020, a $1.00 Co-pay for prescription medications may apply for some Magnolia Health – MississippiCAN members. This copay will apply to Brand Name Drugs, Over the Counter Drugs, Narcotic Drugs, and Benzodiazepine Drugs. There will be a monthly out of pocket copay maximum of $11.00 per household. The copay maximum will reset on a monthly basis.
Members who meet the below criteria will be copay exempt:
- Pregnant Members
- Members ages 18 and under
- Members of the Indian Race
Medications below are copay exempt:
- Antiretroviral Drugs
- Hepatitis C Drugs
Call Member Services at (866) 912-6285 (Relay 711), if you have questions about:
- Drug-Drug Interactions
- A drug’s common side effects and significant risks
- Availability of a generic substitute