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)