Pharmacy

Drug Formulary - a list of drugs covered by Valley Health Plan

Summary of Formulary Updates

Electronic Prior Authorization (ePA) is now available for our VHP Network Providers. This means that you can submit prior authorization requests for prescriptions electronically.

To get started, please use one of our electronic prior authorization (ePA) vendors, Surescripts (Surescripts Prior Auth Portal) or Cover My Meds.

You also have the option to complete and fax the California Prescription Drug Prior Authorization Request Form Prescription-Drug-Prior-Authorization-Request-Form.pdf (valleyhealthplan.org) to Navitus at 1-855-878-9210.

If you have any questions, please contact VHP Provider Relations at 408-885-2221 or email: [email protected].

PCAP & HAP Pharmacy Formulary

Primary Care Access Program (PCAP) Formulary

Pharmacy Network Search

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.

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.

Safeway

Compounds non-sterile
- Non-sterile compounds
  Non-sterile compound examples include oral suspensions/solutions, lozenges, mini troches, capsules, topicals, and suppositories.
- Safeway Compounding Pharmacy
Walgreens
- Compounds only non-sterile compounds
  
  Non-sterile compound examples include oral suspensions/solutions, lozenges, mini troches, capsules, topicals, suppositories, etc.
- Walgreens Compounding Pharmacy
Vaccines and Immunizations
- wwwnc.cdc.gov/travel
- Please note: Valley Health Plan's online Compounding Pharmacies and 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 1.888.421.8444 (toll-free).
Mail Order Pharmacy Prescription Drug Program