Drug Formulary

Online Formulary / Pharmacy Search 2024

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 Prescription Drug Claim Form
English
Spanish
 

2024 Comprehensive Formulary

English
Spanish
Chinese
Vietnamese
Korean

2024 Prior Authorization Criteria - English (last updated on 12/01/2024)
2024 Step Therapy Criteria – English (last updated on 12/01/2024)

 

2025 Online Formulary
Central Health Medicare Plan 
Central Health Focus Plan (HMO C-SNP)
Central Health Ventura Medicare Plan(HMO)
Central Health San Mateo Medicare Plan
Central Health Savings Plan 
Central Health Jade Plan 
Central Health Premier Plan I 
Central Health Embrace Care Plan (HMO C-SNP)
Central Health Classic Care Plan I
Central Health Classic Care Plan II
Central Health Part B Savings Plan
Central Health Medi-Medi Plan I 
Central Health Medi- Medi Plan II
Central Health Dual Access Plan
Central Health Embrace Choice Plan 


2025 Comprehensive Formulary

Central Health Medi-Medi Plan II (HMO)

  English | Spanish | Chinese | Vietnamese | Korean 


Central Health Dual Access Plan (HMO)

  English | Spanish | Chinese | Vietnamese | Korean 


Central Health Embrace Choice Plan (HMO)

  English | Spanish | Chinese | Vietnamese | Korean 


Central Health Medicare Plan (HMO)

  English | Spanish | Chinese | Vietnamese | Korean 


Central Health Ventura Medicare Plan (HMO)

English  |  Spanish  |  Chinese  |  Vietnamese  | Korean 

 

Central Health San Mateo Medicare Plan (HMO)

English  |  Spanish  |  Chinese  |  Vietnamese  | Korean 

Central Health Jade Plan (HMO)

English | Spanish | Chinese | Vietnamese | Korean


Central Health Premier Plan I (HMO)

English | Spanish | Chinese | Vietnamese | Korean


Central Health Embrace Care Plan (HMO C-SNP)

English | Spanish | Chinese | Vietnamese |Korean


Central Health Classic Care Plan I (HMO)

English | Spanish | Chinese | Vietnamese | Korean


Central Health Classic Care Plan II (HMO)

English | Spanish | Chinese | Vietnamese |Korean


Central Health Part B Savings Plan (HMO)

English | Spanish | Chinese | Vietnamese | Korean


Central Health Savings Plan (HMO)

English | Spanish | Chinese | Vietnamese |Korean


Central Health Medi-Medi Plan I
English | Spanish | Arabic | Farsi | Hmong |Armenian 
Korean |Tagalog |Vietnamese |Cambodian |Russian |Chinese
 

2025 Prior Authorization Criteria - English (last updated on 10/15/2024)

 

Central Health Medi-Medi Plan I (HMO)
Central Health Medi-Medi Plan II (HMO)
Central Health Dual Access Plan (HMO)
Central Health Embrace Choice Plan (HMO)
2025 Step Therapy Criteria - English (last updated on 10/15/2024)

 

Central Health Medicare Plan (HMO)
Central Health Focus Plan (HMO C-SNP) 
Central Health Ventura Medicare Plan (HMO)
Central Health San Mateo Medicare Plan (HMO) 
Central Health Jade Plan (HMO)
Central Health Premier Plan I (HMO)
Central Health Embrace Care Plan (HMO C-SNP)
Central Health Classic Care Plan I (HMO) 
Central Health Classic Care Plan II (HMO)
Central Health Savings Plan (HMO)
Central Health Part B Savings Plan (HMO) 

2025 Step Therapy Criteria – English (last updated on 10/15/2024)

2025 Part B Step therapy  - English