The Santa Clara Family Health Plan Drug Formulary is currently available in pdf form and can be viewed online or printed out. We will have an updated formulary on the web every 2 months.
A Drug Formulary is a list of medications that are covered by SCFHP with little or no restrictions.
Please note that you may use the "Bookmark" index tag to go through the 5 major sections of the Formulary.
If you have any questions, please feel free to call our Clinical Pharmacist at 408-376-2000. |
Covered Medications
Medically necessary oral dosage forms and strengths of drugs listed in the formulary are eligible for coverage unless specified otherwise. Medications listed in the formulary with over-the-counter (OTC) equivalents are covered for Medi-Cal members only unless otherwise specified. OTCs are not a covered benefit for the Healthy Families and Healthy Kids programs. A prescription written by a licensed prescriber is required for reimbursement of OTC medications. All OTC claims should be submitted with the prescriber's license number. OTC prescriptions must be filed and prescription containers labeled in accordance with legend prescription requirements. more....
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