Your Resources

Member Handbook (Evidence of Coverage)
Summary of Benefits
Provider & Pharmacy Directory
List of Covered Drugs (Formulary)

2018 Documents

Need a printed copy of the Formulary (Drug List)?

Call Member Services at 1-855-817-5785 (TTY 711) Monday through Friday from 8 a.m. to 8 p.m. Pacific time to ask us to mail you a formulary. You can order by phone whether or not you’re already a member.

If you’re already a member, you can email us at to ask for a printed formulary. When you email us, we’ll call you to verify your membership so we send you the right formulary.

Annual Notice of Changes
Stakeholders' Meeting Minutes
Newsletters (CMS forms)

Appointment of Representative form

H6229_18_34069_R CMS Approved 2/1/2018 Page Last Updated On 7/06/2018