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

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Spanish

2024 Comprehensive Formulary

English
Spanish
Chinese
Vietnamese
Korean

2024 Prior Authorization Criteria - English (last updated on 11/01/2024)
2024 Step Therapy Criteria – English (last updated on 11/01/2024)

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 Focus Plan (HMO C-SNP)

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