NF = Non-formulary Code-1 = Pharmacy POS override CT = Contingent Therapy QL = Quantity Limit PA = Prior Authorization Formulary Tips
The SFHP formulary is available on the SFHP website at www.sfhp.org/providers and through Epocrates at www.ePocrates.com
Download an updated copy of the SFHP Prior Authorization form at www.sfhp.org/providers