View My Drug Benefits

There are two easy ways to search the formulary:

1. Type in the name of the drug or
2. Browse the alphabetic list of therapeutic classes

If the drug you are looking for is in HPSM’s formulary, your provider does not need to submit a Prescription Drug Prior Authorization Request (PAR).

If the drug is not in the formulary or has the initials NF, PA, QL or ST next to it, your provider can ask for a coverage exception by submitting a Prescription Drug Prior Authorization Request Form.

Prescription Drug Prior Authorization Request Form

Order a printed formulary

If you would like a Medi-Cal formulary mailed to you, call the Medi-Cal Rx Customer Service Center at 1-800-977-2273.