Introducing Medi-Cal Rx
On January 1, 2022, the Department of Health Care Services (DHCS) will change your pharmacy benefit. Your prescription medications will be covered by a new program called Medi-Cal Rx. This does not change your Medi-Cal eligibility or benefits.
If you are eligible for both Medicare and Medi-Cal, Medi-Cal Rx may cover prescriptions Medicare does not, so you should talk to your doctor or pharmacy if you have any questions.
Understanding Your Pharmacy Benefits
Starting January 1, 2022, your prescriptions that are filled at a pharmacy will be covered by Medi-Cal Rx instead of the Alliance. Medi-Cal Rx is a new program provided by the DHCS to help you with your pharmacy needs. The DHCS is working with a new contractor called Magellan to provide Medi-Cal Rx services.
There will be no change in how you pay for your medications. For most Medi-Cal beneficiaries, there is no cost.
Most Alliance members will be able to use the same pharmacy they do now on January 1, 2022. If your pharmacy does not work with Medi-Cal Rx, you may need to choose another pharmacy.
When you go the pharmacy, you will need to show your Medi-Cal Benefits Identification Card (BIC). You should have received your BIC when you first became eligible for Medi-Cal benefits. There are two (2) different types of the BIC and either one will work. Below are samples to show you what your BIC will look like:
|Sample 1||Sample 2|
If you did not receive your BIC or it is lost or stolen, you may ask for a replacement BIC. Please contact your local county Medi-Cal office. Please call the number for your county below:
- Merced County: 209-385-3000
- Monterey County: 877-410-8823
- Santa Cruz County: 888-421-8080
Most people will not have to change their medications. The list of drugs that require prior approval from your doctor may be different than the list the Alliance uses. Your doctor may need to get approval to refill prescriptions. He or she may talk to you about changing to a medication that does not require prior approval.
Starting on January 1, 2022, if you have questions about your prescription drugs or pharmacy benefits, you can call the Medi-Cal Rx Call Center Line at 800-977-2273 (TTY: Dial 7-1-1) and a representative from the Medi-Cal Rx team at Magellan will be able to assist you 7 days a week, 24 hours a day.
Your health is important to us! If you have questions before January 1, 2022, please call the Alliance Member Services Department, Monday through Friday, 8:00 a.m. to 5:30 p.m. at 800-700-3874. If you need language assistance, we have a special telephone line to get an interpreter who speaks your language. For the Hearing or Speech Assistance Line, call 800-735-2929 (TTY: Dial 7-1-1).
Contact Member Services
- Monday through Friday, from 8 a.m. to 5:30 p.m.
- Phone: 800-700-3874
- Deaf and Hard of Hearing Assistance
Alliance TTY Line: 877-548-0857
- Nurse Advice Line