SFHP Formulary
Changes are coming April 1, 2021 to the Medi-Cal prescription service Learn more »
The San Francisco Health Plan Formulary is a list of medications reviewed and approved by our Pharmacy and Therapeutics (P&T) Committee. The P&T Committee is comprised of actively participating network providers and pharmacists who select products on the basis of their safety, efficacy, and quality. Providers are requested to prescribe medications included in the formulary whenever medically appropriate.
SFHP Medi-Cal Formulary
Searchable Formulary, Printable Formulary (pdf format) Posted 02-19-2021
SFHP Healthy Workers HMO Formulary
Searchable Formulary, Printable Formulary (pdf format) Posted 02-19-2021
SFHP Medi-Medi Formulary
Searchable Formulary, Printable Formulary (pdf format) Posted 02-19-2021
Step Therapy Edits
San Francisco Health Plan has Step Therapy (ST) medications listed on formulary. These drugs will process at the point of sale at the pharmacy, if the required medications have been tried and failed with paid claims. If paid claims do not exist, a prior authorization request must be submitted for consideration of coverage.
Step Therapy Table (pdf format) Posted 02-19-2021
Vaccination Drug List (pdf format) Posted 08-20-2020
COVID-19 Vaccine Access & Billing Information (pdf format) Posted 01-26-2021