If you are unsure about the coverage of a drug product, please contact the PBM help desk at 1-800-648-0790.

Please file adjustments for claims that may have been incorrectly paid. Only those products of the manufacturers which participate in the Federal Rebate Program will be covered by the Medicaid program. Participation may be verified in Appendix C, available at

Should you have any questions regarding any of the following messages, please contact Molina Medicaid Solutions at (800) 473-2783 or (225) 924-5040.

Attention Pharmacists of Louisiana Medicaid Fee for Service:

Molina is in the process of updating their system to accept the February 2013 version of the NCPDP paper claim form. The system will be ready within the next six weeks. Please NOTE that once the system is ready to receive the latest NCPDP form, a second notice will be sent to providers outlining a grace period for accepting any older versions of the paper pharmacy form. Billing information and a sample copy of the 02/2013 NCPDP form is available to view at