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.

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Effective July 1, 2014, the new Prescription Drug Prior Authorization Request Form is required for non-Medicare plans. View (Section 1300.67.241) (PDF) 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 (PDF) (Uploaded 02/2018)

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2019 Commercial Formulary & Provider Directory

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  • CCHP Provider Directory - HMO (English and Chinese) (PDF)
  • CCHP Provider Directory - Covered CA (English and Chinese) (PDF) (Coming Soon)
  • Start an online Provider Search

  • CCHP Pharmacy Directory (English) (PDF) (Coming Soon)
  • CCHP Pharmacy Directory - Covered CA (English) (PDF) (Coming Soon)
  • Pharmacy Locator
  • CCHP Pharmaceutical Management Procedures (English) (PDF)
  • List of Covered Drugs (Formulary) (English) for Jade, Amber, Silver 70 Off Exchange and ActiveChoice PPO Plans (No changes made since X/201X) (Coming Soon)
  • List of Covered Drugs (Formulary) (English) for Ruby Plans and Opal Plans (No changes made since X/201X) (Coming Soon)
  • List of Covered Drugs (Formulary) (English) for all Platinum, Gold, Sliver, Bronze and Minimum Coverage Plans (No changes made since X/201X) (Coming Soon)

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

  • 2018 CCHP Senior Program (HMO) Provider Directory (PDF) (Coming Soon)
  • 2018 CCHP Senior Program (HMO) Pharmacy Directory (PDF) (Coming Soon)
  • 2018 CCHP Senior Program (HMO) Comprehensive Formulary (PDF) (No changes since X/2018) (Coming Soon)
  • 2018 CCHP Senior Select Program (HMO SNP) Provider Directory (PDF) (Coming Soon)
  • 2018 CCHP Senior Select Program (HMO SNP) Pharmacy Directory (PDF) (Coming Soon)
  • 2018 CCHP Senior Select Program (HMO) Comprehensive Formulary (PDF) (No changes made since X/201X) (Coming Soon)
  • Pharmacy Locator

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