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View our formulary by:
• Therapeutic Class (PDF)
• Complete Formulary Guide (PDF)
The Alliance formulary was developed under the direction of the Pharmacy & Therapeutics (P&T) Committee and is continually reviewed by the P&T Committee and Alliance staff. Please note that since benefits vary by line of business, some drugs or classes of drugs are not covered for some members.
Prior Authorization Criteria
The Prior Authorization Criteria outline the general criteria by which non-formulary drugs are allowed by the Alliance. Exceptions to these criteria are made on a case-by-case basis through the prior authorization process. The Alliance prior authorization criteria is developed by our P&T Committee and is reviewed at least annually.
Prior Authorization Form
Knox Keene lines of business (IHSS and Medi-Cal Access Program - MCAP) are required to use a standardized Prior Authorization Form to request prior authorizations.
Epocrates is a free online drug and formulary reference that contains the latest drug and prescribing information. To locate a drug from the Alliance formulary in the Epocrates database, please see the diagram below and follow the steps on the www.epocrates.com website. Epocrates is available online or downloaded to your mobile devices through www.epocrates.com.
If you have any questions, please contact the Alliance Pharmacy department at (831) 430-5507.