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Prescriptions

Santa Clara Family Health Plan (SCFHP) contracts with most chain and independent pharmacies in Santa Clara County.

To fill your prescription, show your SCFHP member ID card and your prescription to any network pharmacy.

Frequently asked questions

How do I find a network pharmacy?

Network pharmacies are listed in the following places:

If you need a printed copy of the directory mailed to you, fill out and submit this request form. Or contact Customer Service.

  • Medi-Cal members, call 1-800-260-2055 (TTY: 711) Monday through Friday, 8:30 a.m. to 5 p.m.
  • Cal MediConnect members, call 1-877-723-4795 (TTY: 711) Monday through Friday, 8 a.m. to 8 p.m.

What drugs are covered?

For information about which drugs are covered in your plan, please see the Drug Formulary. This is also called List of Covered Drugs or Drug List for short. The Formulary is listed in the following places:

Cal MediConnect members, please visit the Cal MediConnect Prescriptions & Part D page for more information.

What is a Drug Formulary and how is it used?

A Drug Formulary is a complete list of drugs covered by SCFHP. Both brand name and generic drugs are included. For brand name drugs, if the generic option is available, SCFHP requires the use of the generic drug.

Any drug that is not listed on the Drug Formulary is considered a non-formulary drug and requires prior authorization (pre-approval).

The drugs on the Drug Formulary are available at pharmacies within our network. A pharmacy is in our network if we have an agreement with them to work with us and provide you services. We refer to these pharmacies as “network pharmacies”.

See above on how to find a network pharmacy and what drugs are covered.

Santa Clara Family Health Plan Cal MediConnect Plan (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees.

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook.

Enrollment in Santa Clara Family Health Plan Cal MediConnect Plan (Medicare-Medicaid Plan) (SCFHP Cal MediConnect) depends on contract renewal.

Last updated 05/23/2020

H7890_15083W Accepted