Drug Formulary


Prescription Drug Claim Form
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Online Formulary / Pharmacy Search
Central Health Medicare Plan (HMO)
Central Health Medi-Medi Plan (HMO D-SNP)
Central Health Focus Plan (HMO C-SNP)
Central Health Ventura Medicare Plan (HMO)
Central Health Ventura Medi-Medi Plan (HMO D-SNP)
Central Health San Mateo Medicare Plan (HMO)
Central Health Savings Plan (HMO)
Central Health Premier Plan I (HMO) 20-1, 20-2
Central Health Premier Plan II (HMO) 21-1, 21-2

2024 Comprehensive Formulary
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2024 Prior Authorization Criteria - English (last updated on 03/01/2024)
2024 Step Therapy Criteria – English (last updated on 03/01/2024)
2024 Notice of Formulary Changes - English (last updated on 03/01/2024)