2024 California Select
Drug List
The
California Select Drug List is a list of prescription medications approved by
the U.S. Food and Drug Administration (FDA). We’ve reviewed these drugs through
our Pharmacy and Therapeutics (P&T) Process, which considers a drug’s:
- Effectiveness
- Safety
- Similarity to other drugs within a therapeutic
class
- Affordability
PLEASE NOTE: Your coverage has limitations and exclusions. This
means that some drugs on this list may not be covered, depending on your
plan’s design. For example, your plan might not
cover certain drugs for cosmetic uses or to treat conditions such as weight
loss, infertility, or erectile dysfunction. To find out if your drug is
covered, log into your member portal or use the Sydney app to Price a Medication and
refer to your plan documents.
Search
by medication name for up-to-date drug information, including the benefit tier
your drugs are on, as well as applicable clinical edits such as prior
authorization or step therapy requirements.
You can
also view the full drug list here. (Some pages of
this document are intentionally left blank.)
To our
providers: Our
electronic prior authorization (ePA) process is the preferred method for
submitting pharmacy prior authorization requests. Creating an account is free,
easy and helps patients get their medications sooner. You can complete the
process through your current electronic health record/electronic medical record
(EHB/EMR) system or by using one of these ePA site:
Log in to Surescripts®
Log in to CoverMyMeds®
This drug search tool will be updated at least
quarterly.