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Drug Name Search

By Therapeutic Class

HPSM MEDI FORMULARY

Welcome

We cover both brand name drugs and generic drugs. Generic drugs have the same active-ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs. Note: Not every brand name drug has a generic equivalent (equal), but if it is available, the use of the generic equivalent drug is usually required.

What is a Formulary?

A formulary is a list of covered drugs which represents the prescription therapies believed to be a necessary part of a quality treatment program. We will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a network pharmacy, and other plan rules are followed. For more information on how to fill your prescriptions, please review your Evidence of Coverage.

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How to Search For Drugs

  • Use the alphabetical list to search by the first letter of your medication.
  • Search by typing part of the generic (chemical) and brand (trade) names.
  • Search by selecting the therapeutic class of the medication you are looking for.

What if my prescription is not on the formulary?

If your doctor prescribes a drug not found in the formulary, your pharmacist can call your doctor. The doctor may either change the prescription to another drug already on the formulary. The doctor may also submit a Prescription Drug Prior Authorization or Step Therapy Exception Request form to HPSM to request the non- formulary drug. A copy of the form is available online at www.hpsm.org/provider-forms. In most circumstances, HPSM will review and decide on these requests within 24 hours. If HPSM fails respond within 72 hours of receiving a non-urgent request and 24 hours of receiving a request based on exigent circumstances, the request will be approved. Completed forms should be faxed to Pharmacy Services, Health Plan of San Mateo at 650-829-2045.

Legend

TIERING
  • T1
    - Generics
  • T2
    - Brands
  • NF
    - Non-Formulary