Pharmacy

• Employer Group Formulary PDF 2019
  
• Covered California and Individual & Family Plan Formulary PDF 2019​
• Covered California and Individual & Family Plan Formulary PDF 2020
• P&T Employer Group Formulary Updates​
• P&T Covered California and Individual & Family Plan Formulary Updates
• Mandatory Maintenance Drug Link

• ​Find a Pharmacy Near You​

  Valley Health Plan (VHP) offers our Members access to an extended network of conveniently located pharmacies in and out of Santa Clara County. As a Member, you will continue to enjoy convenience services offered at your Plan Pharmacy location. (Note: VHP does not cover charges for additional convenience services that Plan Pharmacies may offer.) Please note that days and hours of operation are subject to change, please call ahead to confirm. 
  

• Retail Pharmacy Network:

• California Raley's and Affiliates​
• Countywide Valley Health Center Pharmacies (VHC)
• Nationwide Walgreens
• Nationwide Safeway/Albertsons affiliates
• Nationwide Costco Pharmacy
• ​Independent Pharmacies in California

• California Pharmacy Directory for Covered California and Individual & Family Plans​
  

• Mandatory Specialty Pharmacy (MSP) 

• ​Valley Medical Center Pharmacy 833.543.0744

• Lumicera Health Services 855.847.3554 

• 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 compounds 
  Non-steroid compound examples include oral suspensions/solutions, lozenges, mini troches, capsules, topicals, and suppositories. 

• Safeway Compounding Pharmacy
  
  

• Walgreens

• ​Compounds only non-sterile compounds

  Non-steriod compound examples include oral suspensions/solutions, lozenges, mini troches, capsules, topicals, suppositories, etc. 

• Walgreens Compounding Pharmacy

• ​Mail Order Pharmacy Prescription Drug Program​

• Health Care Reform Preventative Drugs

• Drug Benefit Information

• Vaccines and Imm​unizations*
  
• CDC Traveler's Health​

• Mandatory Specialty Medications​

• Step Therapy, Quantity Limit, and Maintenance Drugs

• Prior Authorization and Exception to Coverage Drugs​

• ​Member Reimbursement Form​
  
• Prescription Refill​
• Drug Recalls

​​​​​​​​*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 participate 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, 9am-5pm, at 1.888.421.8444 (toll-free).​​​