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A formulary is a list of drugs that a plan covers. The SelectCare formulary is designed to include all drug categories and provide doctors with prescribing options. Through an arrangement with PerformRx, a national pharmacy benefits administrator, SelectCare provides Medicare Part D prescription benefit management services to our members, which includes a formulary.
Those medications not on our formulary, as well as some formulary medications, will require prior authorization. For more information on how your doctor can request prior authorization please see our prior authorization process.
For information on how you can file an appeal or grievance if a prior authorization request is denied, please refer to Contra Costa Health Plan's policies and procedures.
In order to receive benefits through SelectCare, prescriptions must be filled at a SelectCare network pharmacy.
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