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Pharmacy

Providers can view and search through formularies using the links below.
To request printed copies of these formularies, call Provider Services at 650-616-2106.

Formularies

Medi-Cal Formulary 2011 CareAdvantage Formulary 2012 CareAdvantage Formulary Healthy Families Formulary

Healthy Kids Formulary ACE Formulary HealthWorx Formulary

Epocrates Rx for Handheld Devices

Download the HPSM Medi-Cal and CareAdvantage formularies to your handheld device.
Register at www.epocrates.com and learn more.

Formulary Updates and Resources

Updates

Reminder Notice — Diabetic Test Strips and Glucometers
Cough and Cold Medications for Children Age 2 and Under
San Mateo ACE Formulary Changes
HPSM Medi-Cal Formulary Changes in 2011
CareAdvantage Formulary Changes

Reference

Quick Reference Guide for HPSM Medi-Cal
Pediatric Quick Reference Guide for HPSM Medi-Cal
Quick Reference Guide for CareAdvantage
Billling for Vaccines for CareAdvantage

Pharmacy Prior Authorization

Guidelines

CareAdvantage Formulary Prior Authorization Guidelines
Quantity Limits for Formulary Drugs
Criteria for Step Therapy Drugs

Forms

HPSM Medication Request Form
Medicare Part D Request Form
Brief Psychiatric Rating Scale
SCORE for NSAID Risk Tool