Prescription Drugs and Pharmacy Benefits

If you need medications to treat your illness or condition, your doctor will give you a prescription. Once you choose a pharmacy, take your prescription to that pharmacy to get your medication. Your doctor may also send it to the pharmacy for you. Make sure the pharmacy knows about all of the medications you are taking and any allergies you have. If you have any questions about your prescription, make sure you ask the pharmacist.

If you are told that a medication is not covered by your insurance or if you are asked to pay for a medication, here is what to ask:

• If the pharmacy tells you the drug is not covered, ask the pharmacy staff why the drug is not covered.
• If the pharmacy says the drug has been denied, ask if the medication needs prior authorization from the Alliance or MediCal Rx. The pharmacy staff will need to let your doctor know to request prior authorization and include any needed medical information. Your prescription might get denied because it is not in our list of covered medications. You can find more information in our Filling Your Prescription section below.
• You can also call your doctor to ask if there is another drug that would be covered instead.

Always follow up with your doctor or the Alliance if you cannot get a medication that has been prescribed by your doctor. If you need help or have more questions, call Member Services.

Medi-Cal Prescriptions

Medi-Cal prescription drugs are covered by Medi-Cal Rx, not the Alliance. Learn more on the Medi-Cal Prescriptions page.

Alliance Care IHSS Prescriptions

The Alliance covers prescription drugs for Alliance Care IHSS plan members. We contract with a company called MedImpact for pharmacy services. Learn more on our Alliance Care IHSS Prescriptions page.

Medications and Your Health

Our Medications and Your Health page shares information on medications and tips on how to use them safely.

Alliance policy and procedures

If you would like to see a copy of the Alliance pharmacy policy and procedures, please call Member Services.