Archived formulary changes

Blue Shield of California Promise Health Plan previously administered pharmacy benefits for Medi-Cal and Medicare members. We have archived our prior formulary change summaries here for your reference.

2022 Cal MediConnect formulary changes by quarter
 Formulary changes for 4th QTR 2022 (PDF, 88 KB)
 Formulary changes for 3rd QTR 2022 (PDF, 89 KB)
 Formulary changes for 2nd QTR 2022 (PDF, 135 KB)
 Formulary changes for 1st QTR 2022 (PDF, 120 KB

2021 Medi-Cal formulary changes by quarter

 Formulary changes for 4th QTR 2021 (PDF, 90 KB)
 Formulary changes for 3rd QTR 2021 (PDF, 108 KB)
 Formulary changes for 2nd QTR 2021 (PDF, 86 KB)
 Formulary changes for 1st QTR 2021 (PDF, 97 KB)

2020 Medi-Cal formulary changes by quarter
 Formulary changes for 4th QTR 2020 (PDF, 94 KB)
 Formulary changes for 3rd QTR 2020 (PDF, 105 KB)
 Formulary changes for 2nd QTR 2020 (PDF, 126 KB)
 Formulary changes for 1st QTR 2020 (PDF, 110 KB)

2021 Cal MediConnect formulary changes by quarter
 Formulary changes for 4th QTR 2021 (PDF, 122 KB)
 Formulary changes for 3rd QTR 2021 (PDF, 102 KB)
 Formulary changes for 2nd QTR 2021 (PDF, 113 KB)
 Formulary changes for 1st QTR 2021 (PDF, 110 KB)

2020 Medicare & Cal MediConnect formulary changes
 Formulary changes for 4th QTR 2020 (PDF, 120 KB)
 Formulary changes for 3rd QTR 2020 (PDF, 101 KB)
 Formulary changes for 2nd QTR 2020 (PDF, 228 KB)
 Formulary changes for 1st QTR 2020 (PDF, 128 KB)

Pharmacy services and drug formularies

Access drug formularies and find pharmacy services information.

Health Care Options: (844) 580-7272  {TTY: {800) 430-7077}, Monday through Friday from 8 a.m. — 6 p.m. 

For information on Blue Shield Promise plans for your health care, call the Department of Health Care Services at (800) 430-4263 {TTY: (800) 735-2922}, or visit https://www.healthcareoptions.dhcs.ca.gov/.

Blue Shield of California Promise Health Plan is a managed care organization, wholly owned by Blue Shield of California, offering Medi-Cal Plans.

© 2002-2024. California Physicians’ Service DBA Blue Shield of California Promise Health Plan. All rights reserved.

California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association.

The provider network may change at any time. You will receive notice when necessary.

Blue Shield of California Promise Health Plan complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability.

Blue Shield of California Promise Health Plan cumple con las leyes estatales y las leyes federales de derechos civiles vigentes, y no discrimina por motivos de raza, color, país de origen, ascedencial, religión, sexo, estado civil, genero, identidad de genero, orientación sexual, edad ni discapacidad.

Blue Shield of California Promise Health Plan遵循適用的州法律和聯邦公民權利法律,並且不以種族、膚色、原國籍、血統、宗教、性別、婚姻 狀況、性別認同、性取向、年齡或殘障為由而進行歧視。

 

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Blue Shield of California Promise Health Plan, 3840 Kilroy Airport Way, 
Long Beach, CA  90806

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