Pharmacy Benefit Administered by Navitus Health Solutions

CCHP contracts with Navitus Health Solutions to administer its prescription drug benefit. When physicians have questions about coverage for a particular drug or require assistance regarding prior authorization or a non-formulary request, please contact Navitus Health Solutions at:

For your CCHP Medicare patients: 1-866-270-3877
For your CCHP Commercial patients: 1-866-333-2757

In addition, CCHP has a pharmacist available to discuss concerns regarding drugs that are not on the formulary or to assist you in finding an alternative drug that is on the formulary. To reach the CCHP Pharmacy Manager, call 1-415-955-8800, ext. 3338.

For more information, please refer to Section 8 of the CCHP Provider Manual at Pharmacy Information.

CCHP's Formulary and Pharmacy directories are available to view:

Medicare Formulary for CCHP's Senior Program (HMO):

• 2013 Medicare Formulary for Providers (PDF)
• 2013 Medicare Formulary Prior Authorization Criteria (PDF)
• 2013 Medicare Step Therapy Criteria (PDF)
• 2013 Medicare Formulary Quantity Limits Criteria (PDF)

Medicare Formulary for CCHP's Senior Select Program (HMO SNP):

• 2013 Medicare Formulary for Providers (PDF)
• 2013 Medicare Formulary Prior Authorization Criteria (PDF)
• 2013 Medicare Step Therapy Criteria (PDF)
• 2013 Medicare Formulary Quantity Limits Criteria (PDF)

Commercial Formulary & Provider Directory

• Commercial Formulary for Providers (PDF)
• Commercial Provider Directory (PDF)

CCHP Pharmacies

• 2013 CCHP Senior Program (HMO) Provider & Pharmacy Directory (PDF)
• 2013 CCHP Senior Select Program (HMO SNP) Provider & Pharmacy Directory (PDF)