Contract Drugs List
Contract Drugs List
Medi-Cal Rx has temporarily revised prior authorization (PA) requirements effective immediately and retrospective to 1/1/2022. Please review the following alerts, Revised Prior Authorization Policy for Prescribers and Revised Prior Authorization Policy for Pharmacy Providers, for more information.
Medi-Cal Rx Contract Drugs List
Medi-Cal Rx Contract Drugs List - Authorized Drug Manufacturer Labeler Codes
Medi-Cal Rx Contract Drugs List - Blood Factors
Medi-Cal Rx Contract Drugs List - Over the Counter Drugs
Medi-Cal Rx Contract Drugs List - Over the Counter Cold/Cough Preparations
Medi-Cal Rx Contract Drugs List - Therapeutic Classifications
Medi-Cal Transportation Contacts
Alameda Alliance: 855.891.7171
Blue Cross Medi-cal: 877.931.4755
CA Health and Wellness: 877.658.0305 (will take reservations in 3-5 business day window) – MD certification required to verify need before first use, should be valid annually
CalViva Health (Fresno County): 855.253.6864
Caremore Health 877.211.6687
CenCal (Santa Barbara County): 877.814.1861
Central Coast Alliance (Santa Cruz, Monterey County, Hollister): 831.430.5500 (member needs to do a “phone screen” answering 4 questions verifying need for the service prior to first reservation)
Health Net Medi-cal 866.779.5165
Health Plan of San Joaquin: 209.942.6320 (requires MD certification of need, available online on provider & member portal to activate benefit)
HPSM: 844.856.4389
HPSM Care Advantage: 877.356.1080
Partnership Health Plan: 888.828.1254
SCFHP: 800.260.2055 (MD verification of need likely requested – via fax to MD office – needs to be certified once annually)
SCFHP MediConnect/Medicare Advantage 877.723.4795