San Mateo ACE covers brand and generic medications that are prescribed by your doctor. Some over-the-counter
medicines may be covered if you have a doctor’s prescription. If a medication is not on the list
of covered drugs, your doctor needs to request a prior authorization from HPSM for coverage.
To see if a drug is in the San Mateo ACE Formulary, you have two ways to check:
If your prescription is denied at the pharmacy, call your doctor. Your doctor needs to
request a prior authorization from HPSM to get coverage for that drug.