尊敬的 SFHP 會員:國會未能就2026財年的資金達成協議,聯邦政府於10月1日停擺。雖然我們尚不清楚停擺將持續多久,但SFHP將繼續正常運作。您仍然可以獲得所需的護理。我們致力於確保您獲得照護的途徑不受影響。如果您遇到任何問題,請聯絡 SFHP 客戶服務部,電話:1(415) 547-7800,或免費電話 1(800) 288-5555 (TTY 使用者可撥打 711)。我們的營業時間為週一至週五,8:00am 至 5:00pm。

1(415) 547-7800 聯絡我們

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.

Starting of January 1, 2022, Medi-Cal Rx will be responsible for the following pharmacy benefits when billed by a pharmacy on a pharmacy claim. For Medi-Cal Rx’s formulary, also known as the Contract Drugs List (CDL) please visit Medi-Cal Rx’s homepage, under Tools and Resources.

For Medi-Medi members, you can refer to the CDL for the over the counter drugs and over the counter cold/cough preparations lists Medi-Cal Rx covers.

SFHP Healthy Workers HMO Formulary
Searchable Formulary, Printable Formulary (PDF format) Posted 08/20/2025
HW Vaccine Drug List  (PDF format) Posted 07/07/2025
Preventive Drug List (ACA) (PDF format) Posted 07/07/2025
Physician Administered Drugs Covered Under Healthy Workers HMO Outpatient Pharmacy Benefit (PAD) (PDF format) Posted 07/07/2025

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 07/07/2025

×

Cookie 政策

我們使用 Cookie 和其他工具使我們的網站更易於使用。