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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