Tools for managing prescriptions

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 drug list updates, reading our outpatient pharmacy disclosure, and finding how members can get prescriptions delivered by mail. 

Requesting prior authorization

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.


Generic vs. brand name medications

Our drug list 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.


Outpatient prescription drug benefits

Learn how Sharp Health Plan's supplemental outpatient prescription drug benefit plan works for your patients.


Interested in becoming a contracted network provider or need more information? Contact our provider relations team.

Updates and news

We serve up the latest Sharp Health Plan news for you so that you can better serve your patients.


Opioid cumulative dose program

Sharp Health Plan is committed to preventing overuse and protecting patient safety. Get more information and learn how program aims to reduce the likelihood that members receive unsafe levels of opioid medications.


Specialty drugs

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 is listed in your health plan drug list.