Preferred Drug List
Search Online Formulary
- CCHP Medi-Cal Formulary
- CCHP Plan A, Plan B, Plan A2, IHSS Plan A-2 Formulary
- Behavioral Health Care Formulary
Contra Costa Health Plan has adopted a Preferred Drug List (PDL). Starting July 15, 2002 all new prescriptions for CCHP patients (except permanent County employees) must be taken from our PDL formulary or be accompanied by a Medication Prior Authorization Request (PA) form. Both of these documents are available for download in PDF format:
- CCHP Medi-Cal Preferred Drug List (PDL)
- CCHP Commercial Preferred Drug List (PDL)
Prior Authorization Request (PA) Form | Word
— PA Form Online »
- Medication Prior Authorization Request (PA) form
- Synagis Prior Authorization Request form
- Direct Member Reimbursement Form
The Preferred Drug List is the prescription drug formulary for the Contra Costa Health Plan.
Medi-Cal recipients receive prescribed medications at no cost.