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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 03/26/2024)
2024 Step Therapy Criteria – English (last updated on 03/26/2024)

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Our business hours are 7 days a week

from 8:00am to 8:00pm (PT).

Our business hours are 7 days a week from 8:00am to 8:00pm (PT).

1-866-314-2427.

TTY/TDD: 711

PO Box 14244, Orange, CA 92863

memberservices@centralhealthplan.com