Pharmacy & Formulary

SFHP Formulary

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 FormularyPrintable Formulary (pdf format) Posted 08-20-2021

SFHP Healthy Workers HMO Formulary

Searchable Formulary, Printable Formulary (pdf format) Posted 09-20-2021

SFHP Medi-Medi Formulary

Searchable FormularyPrintable Formulary (pdf format) Posted 08-20-2021

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 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