藥品處方集


處方藥品理賠申請表
英文
西班牙文
 
2025 Online Formulary
 
 
 
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 

 

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
 

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 (1T)- 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(6T) – English (last updated on 10/15/2024)



2024 Online Formulary / Pharmacy Search
中心健保聯邦紅藍卡計劃(HMO)
中心健保聯邦紅藍白卡計劃(HMO D-SNP)
中心健保聯邦安美計劃(HMO C-SNP)
中心健保聯邦本圖拉縣紅藍卡計劃(HMO)
中心健保聯邦本圖拉縣紅藍白卡計劃(HMO D-SNP)
中心健保聖馬特奧計劃(HMO)
中心健保悅享紅藍卡計劃(HMO)
中心健保特選計劃 I (HMO) 20-1, 20-2
中心健保特選計劃 II (HMO) 21-1, 21-2

2024 藥品處方集
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西班牙文
中文
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2024 預先核准準則 - 英文 (最後更新 10/01/2024)
2024 階段療法準則 - 英文 (最後更新 10/01/2024)