How to Get Prescription Drugs


What is a formulary?

We pay for medications that are listed in our “formulary.” A formulary is a list of the drugs and medications that we will pay for. Every Alliance doctor has this list. Our formulary does not list all the pills that there are. If your doctor thinks you need a medication that is not on our list of approved drugs, he or she will need to send us a form called a Prior Authorization. We will review the request and approve or deny it based on the information your doctor provides.


• See a complete list of covered medications by therapeutic class.
• If you want a copy of our formulary, call Member Services.


Some of the pharmacies in our network have locations in other parts of California. If you are going outside Santa Cruz, Monterey and Merced counties, call Member Services to see if there is a contracted pharmacy nearby.


Mail Order Pharmacy

Central California Alliance for Health has contracted with MedImpact Direct (MID) to provide mail order prescription delivery services for Alliance members.


Mail order prescription services with standard shipping are a covered benefit for Alliance members.

To set up mail order, please register with MedImpact Direct online: https://www.medimpactdirect.com/


Once you have registered with MedImpact Direct you can request refills of current prescriptions or have a new prescription filled by:


Phone

Call MedImpact Direct (MID) at (855) 873-8739
Monday to Friday: 7:00 am to 7:00 pm
Saturday: 8:00 am to 4:00 pm

With a simple phone call, MedImpact Direct (MID) will transfer your prescriptions for you.


Mail

Complete the MedImpact Direct Medication Order Form that can be downloaded from https://www.medimpactdirect.com/GettingStarted/.


Send in the form with your prescription to:
MedImpact Direct
PO Box 51580
Phoenix, AZ 85076-1580

Once MedImpact Direct has your order, you can order refills and customize your delivery options for future orders.


Fax from Doctor

Ask your doctor to send your prescription electronically or by faxing it to MedImpact Direct at (888) 783-1773. The pharmacy staff at MedImpact Direct will call you to obtain approval before they process the prescription.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Members | Miembros | Cov Tswvcuab | Providers | Community | About Us | 2018 Central California Alliance for Health®