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Valley Health Plan

Pharmacy

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Prescription drugs are an important part of your health and we want you to understand your benefit. Please click on the following topics to learn more about pharmacy benefits, covered medications, and cost sharing (when applicable based on your plan).  

For “real time” information related to your VHP pharmacy coverage, medication history, eligibility, and cost sharing, please select the “Navitus Portal” option below and follow guidance to create an account with VHP’s Pharmacy Benefit Management Partner, Navitus.

 

Summary of formulary updates

The drug cost lookup tools are designed to help you find a specific drug available in your plan and let you know the cost of that drug with your copay or cost-share. 

Except for certain mandatory specialty prescriptions, a member may get covered outpatient prescription drug benefits from any Plan Pharmacy. Only prescription(s) for emergent or urgent care services will be covered at an out-of-network pharmacy when a Plan Pharmacy is not available. Members should always present their VHP ID card to the Plan Pharmacy. Ask the pharmacy staff to let you know if something is not covered. A copay/coinsurance may be charged for covered benefits as listed in your EOC. If the retail price for a prescription drug is less than your copayment, the retail price should be charged.

Find a pharmacy near you

Go to the VHP Provider Search, click on your Plan type, then choose Pharmacy from the Service Type drop-down list. There you can enter your address or zip code, group affiliation, and other filters.

Retail pharmacy network

Mandatory Specialty Pharmacy (MSP) 

Compounding Pharmacies*

Your Provider must continue to use the VHP Formulary when writing prescriptions, including those to be compounded. If an active ingredient in the compounded product is not on the VHP Formulary, your Provider is required to fill out a Non-Formulary Prescription Drug Prior Authorization Form. 

*Please note: Valley Health Plan's online Compounding Pharmacies directory is provided for reference purposes only. While every effort is made to ensure that we provide current, accurate data, provider information changes frequently. As a result, recent changes may not be reflected in the data presented here. Valley Health Plan recommends that you contact your health care provider directly for the most accurate and up-to-date demographic and participation information. If you are unable to find the provider or specialty you are searching for, you can contact Valley Health Plan Member Services Monday through Friday, 9:00 am-5:00 pm, at (888) 421-8444 (toll-free).​​

​* Please note: Valley Health Plan's online Vaccines Immunizations directory is provided for reference purposes only. While every effort is made to ensure that we provide current, accurate data, provider information changes frequently. As a result, recent changes ​may not be reflected in the data presented here. Valley Health Plan recommends that you contact your health care provider directly for the most accurate and up-to-date demographic and participation information. If you are unable to find the provider or specialty you are searching for, you can contact Valley Health Plan Member Services Monday through Friday, 9:00 am-5:00 pm, at (888) 421-8444 (toll-free).​​​

Drug recalls​

VHP members can access the Navitus Portal and register for an account to obtain the following “real time” information:

  • General pharmacy benefit information
  • Formulary
  • Pharmacy Search
  • What's my Copay
  • Medication History
  • Drug Search (Information about drugs)
  • Mail Order​
  • Initiate Request for Non-Formulary Drugs​

Walgreens locations with medication take back kiosks go to www.walgreens.com/topic/pharmacy/safe-medication-disposal.jsp

For medication disposal locations: County of Santa Clara medication disposal locations​​.

For syringe/lancet/sharps disposal locations: County of Santa Clara syringe/lancet/sharps disposal locations