Members

View My Drug Benefits

Click on the health plan that is listed on your HPSM member ID card:

Search the list of covered drugs

You can search the formulary that corresponds to your health plan.

 CareAdvantage
 HPSM Medi-Cal
 HealthWorx
 ACE Program

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 formulary mailed to you, either email or call HPSM:

 Order by email

Send the following information to formularyrequests@hpsm.org:

  • Your first and last name
  • Daytime phone number (in case we need to call you about your request)
  • Mailing address
  • Which program's formulary you are requesting (ACE, CareAdvantage CMC, HealthWorx HMO or Medi-Cal)

 Order by phone

  • Medi-Cal, HealthWorx HMO, and ACE: 1-800-750-4776 or 650-616-2133
  • CareAdvantage CMC: 1-866-880-0606 or 650-616-2174