Request for Pharmacy/Formulary Exception = Pharmacy Prior Authorization

Members can initiate an exception for non – covered pharmaceuticals. Ventura County Health Care Plan’s (VCHCP) exception process for reviewing member requests for non - covered medications is through the Plan’s Utilization Management’s (UM)’s pharmacy prior authorization review.

If you would like to initiate an exception request for a non – covered medication, please complete the form below. A nurse will evaluate your request and call you within 2 business days. If you would like to speak directly with a nurse, please call 805-981-5060 and ask for a Utilization Management Nurse.

If you are experiencing a medical emergency, please dial 911. Always consult your physician about your individual healthcare needs and treatment options.

Pharmacy/Formulary Exception Request Form