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Pharmacy
Formularies
Providers can view and search through formularies using the links below.
Use the online search tool, or view PDF files. To request printed copies of these formularies, call Provider Services at 650-616-2106.

Formularies
HPSM Medi-Cal Formulary
CareAdvantage Formulary
Healthy Kids Formulary
Healthy Families Formulary
HealthWorx Formulary
San Mateo ACE 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
 San Mateo ACE Formulary Changes
 2009 Medi-Cal Formulary Changes
 2010 Medi-Cal Formulary Changes
 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




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