We’ve laid out some important details that can help guide you through the prescription process.
It’s important to us that you have all the right resources and information you need when helping our members get effective treatment. To make the prescription process easier for you and members try searching our drug list, scanning formulary updates, reading our outpatient pharmacy disclosure, and finding how members can get prescriptions delivered by mail.
If you would like to prescribe a medication that requires authorization by Sharp Health Plan, you’ll need to fill out the prior authorization request form and give us any relevant support or documentation. Once the form is complete, we can review your request. Turnaround time is 24 hours for urgent requests, and 72 hours for non-urgent requests.
Our formulary includes many commonly-prescribed medications. When a generic equivalent is available, it must be dispensed instead of the brand-name drug unless a doctor specifies otherwise. Use our helpful online search tool to find covered medications.
Learn how Sharp Health Plan's supplemental outpatient prescription drug benefit plan works for your patients.
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Some specialty medications like Xeloda, Truvada and Tecfidera are only available through our partner CVS Specialty™. A full listing of medications only available through specialty pharmacy are listed in your health plan formulary.
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