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
SFHP Healthy Workers HMO Formulary
SFHP Medi-Medi Formulary
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 05-20-2021
Vaccination Drug List (pdf format) Posted 09-15-2021
COVID-19 Vaccine Access & Pharmacy Billing Information (pdf format) Posted 03-26-2021