The Department of Health Care Services has made an update to All Plan Letter (APL) 25-013, Medi-Cal RX Pharmacy Benefits and Cell Gene Therapy Coverage.
This change is important to know, as it may impact how you provide services.
- Medi-Cal Rx now handles statewide pharmacy benefits, replacing managed-care plans for outpatient pharmacy services.
- This APL defines how the coverage is split, which includes Medi-Cal Rx coverings outpatient drugs/supplies and managed-care plans (MCPs) covering provider-administered drugs.
