CareMore Cal MediConnect

Drug List (Formulary)

Find out whether the medications you take are covered, learn about changes made to the drug lists & download forms you may need to get certain drugs approved. Use these links below:

CareMore's List of Drugs (PDF)

CareMore's Online Drug Search for 2018 Plan

Request a mailed copy of the Drug List (Formulary)

How do I request an exception to the CareMore Health Plan's Drug List?

PRIOR AUTHORIZATION: The plan requires you or your doctor to get prior authorization for certain drugs. This means the plan needs more information from your provider to determine whether certain medications can be covered.

Prior Authorization Criteria

Please click HERE for the 2018 Prior Authorization Criteria document

To request a coverage determination or Drug List Exception please ask your provider to submit the PDF document below on your behalf or print out the PDF document below and fax the form to (866) 632-7946 or call CareMore at 1-888-350-3447 (TTY: 711), 8am-8pm PST, 7 days a week. At CareMore Cal MediConnect, you are not alone.

Coverage Determination Form for Members may be found here (PDF).

Don't see your medication on the Drug List?

You may be able to keep taking the medicine you take now for awhile. Read about our transition plan here.

Sometimes, we might cover a generic version of a brand-name drug you're taking. Remember, generic drugs:

  • Have the same active ingredient as their brand-name equals
  • Usually cost less than brand-name drugs
  • Are rated by the Food and Drug Administration (FDA) to be as safe and work as well as brand-name drugs

Generic Drugs

Sometimes, we might cover a generic version of a brand-name drug you're taking. Remember, generic drugs:

  • Have the same active ingredient as their brand-name equals
  • Usually cost less than brand-name drugs
  • Are rated by the Food and Drug Administration (FDA) to be as safe and work as well as brand-name drugs

Ask your doctor to call us. We'll work with you and your doctor to make sure you get the medicine you need.