Pharmaceutical services

KFHC formulary

Participating providers use a list of preferred medications when they write prescriptions. This preferred list is the KFHC drug formulary.

Although a medication is available on the formulary, it does not guarantee the physician will prescribe it. There are some limitations that may apply to the listed medications, such as the reason your doctor prescribed the medication, your age or other medical conditions you may have.

Attention KHS providers: If the prescription is not on the KFHC formulary, you may submit a Prior Authorization Request Form. To download this document, click on the link below.

KFHC Pharmacy Formulary search

• 2021 KFHC drug formulary (pdf).
• Prescription Drug Prior Authorization Request Form (TAR) 61-211 (SB 282).
• Request for Addition or Deletion of a Drug to KHS Formulary.

Medi-Cal RX carve out information**

**Please note, DHCS has delayed the transition to Medi-Cal RX from January 1, 2021 to April 1, 2021