Drug Search Main Content

2019 Partnership HealthPlan of California Drug Search  

Welcome to the search tool for Partnership HealthPlan Of California’s Medi-Cal formulary.

This search site is intended to help providers know formulary status of drug products, identify criteria for TAR authorization and to help determine appropriate formulary alternatives.  To view a PDF version of our drug formulary, click

The user will notice a significant difference in this search tool, compared to previous PHC Medi-Cal formulary reference tools:  an unconventional use of “TIER” values.  These tier values are for grouping & informational purposes only and it is important to note that having a tier value does not necessarily mean an item is on the formulary.  PHC has chosen to include many NON-FORMULARY items in this search tool for informational purposes, in order to assist providers with frequent issues & questions that arise with non-formulary products.  Tiers 1, 2 & 3 are the only FORMULARY tiers.  All other tiers are NON-FORMULARY.  Please check the descriptions of tiers and all notes carefully when researching formulary status.  If you have any formulary questions, additional information may be obtained by calling PHC at (707) 863-4414.

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Brand & Generic Name Search


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Formulary Id: 15035
Formulary Effective Date: 10/01/2019
CMS Approval Date:
CMS Version:

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