Prescription Drug
Prescription Medications
Participants can get prescription medications on their Medical Home’s Drug Formulary when prescribed by their Healthy San Francisco (HSF) Medical Home network provider. A primary care provider or a specialist in the Medical Home network can be the prescriber.
Any medications not approved on the Medical Home Network Drug Formulary will not be covered by HSF. Each Medical Home has a designated pharmacy for picking up prescription medications. Each provider organization or Medical Home network may also have a different formulary.
For a complete list of pharmacies, please check the Medical Home’s “Prescription” section in the HSF Medical Home Directory.
Participants Getting Care through Community and
Behavioral Health Services
The pharmacy will check with the SFCBHS Pharmacy Benefits Management company (PBM) to make sure the patient is eligible for services, and that the prescribing provider is a SFCBHS provider. Only SFCBHS providers can access specialty psychiatric medications on the SFCBHS formulary.
Participants Getting Behavioral Care at the Medical Home
HSF participants getting behavioral health care at their primary care home are only authorized to receive those medications listed on their Medical Home’s Drug Formulary.