STAGE DEV MAY, 2013

CCHP Providers Formulary & Pharmacy

Comprehensive formulary and pharmacy can be found in the PDF documents below. If you have any questions, please contact Member Services.

CCHP Member Services is available to take your calls from 8:00 a.m. to 8:00 p.m., 7 days a week. You can reach Member Services Center by calling toll-free at 1-888-775-7888 or locally 1-415-834-2118. TTY users can call 1-877-681-8898.

Effective July 1, 2014, the new Prescription Drug Prior Authorization Request Form is required for non-Medicare plans. Click here (Section 1300.67.241) to read the complete DMHC regulations specifying the process. The form can be downloaded via pdf link below:

(New) Prescription Drug Prior Authorization Request Form (Uploaded 05/2017)

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2018 Commercial Formulary & Provider Directory

  • CCHP Provider Directory - Covered CA (English and Chinese)

  • CCHP Provider Directory - HMO (English and Chinese)

  • To start an online Provider Search, click here

  • CCHP Pharmacy Directory (English)
  • Covered CA Pharmacy Directory (English)
  • Formulary Changes for 2018 (English)
  • CCHP Pharmaceutical Management Procedures (English)
  • List of Covered Drugs (Formulary) (English) for Jade, Copay25, Amber and ActiveChoice PPO Plan (No changes made since X/XXXX)
  • List of Covered Drugs (Formulary) (English) for Ruby Plans and Opal Plans (No changes made since X/XXXX)
  • List of Covered Drugs (Formulary) (English) for all Platinum, Gold, Sliver, Bronze and Minimum Coverage Plans (No changes made since X/XXXX)

CCHP Senior Program (HMO) Formulary & Provider Directory
CCHP Senior Select Program (HMO SNP) Formulary & Provider Directory

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STAGE DEV MAY, 2013