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Care1st Medi-Cal Formulary Information

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Care1st Medi-Cal Formulary

The Care1st Medi-Cal Formulary is a list of covered and preferred drug agents for Care1st Medi-Cal members. The drug list includes drugs used to treat common diseases or health problems. A team of doctors and pharmacists (Pharmacy and Therapeutics (P&T) Committee) meets quarterly to decide which drugs should be on the drug list. The P&T Committee reviews new and existing drugs and chooses drugs that work best and are proven to be safe. Consequently, the formulary is updated regularly and is subject to change without notice.

To look for a drug, check the index at the end of the document. The index lists all of the drugs on the Formulary. Next to your drug, you will see the page number where you can find your drug.

To look for a therapeutic class, check the Table of Contents.

The Formulary covers generics whenever available. Brand name drugs that don’t have a generic equivalent are listed in capital bold letters. Any drug not found in this Formulary listing shall be considered a Non-Formulary drug.

If your doctor thinks you need to take a drug that is not on formulary, you can ask your doctor to prescribe a similar drug that is on formulary, or your doctor can call us at 1-877-792-2731, or submit a written request for prior authorization review via fax at 1-866-712-2731. Some drugs require Care1st Health Plan approval.

If you want a copy of the Care1st Health Plan Medi-Cal Formulary, or have additional questions, please call Care1st Health Plan’s Member Services at 1-800-605-2556 (Los Angeles County) or 1-855-699-5557 (San Diego County).

As a Care1st Medi-Cal member, you do not have any co-pays for your prescription drugs.