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Medi-Cal Pharmacy

All pharmacy services billed as a pharmacy claim are a benefit under Medi-Cal Rx, a Medi-Cal Fee-For-Service (FFS) program, including:

Outpatient drugs (prescription and over-the-counter).
Physician-Administered Drugs (PADs).
Enteral nutritional products.
Medical supplies.

Medi-Cal Rx does not include pharmacy services billed as a medical (professional) or institutional claim. For Physician-Administered Drugs billed as a medical claim, see Physician-Administered Drugs.

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Find a Medi-Cal Rx Pharmacy

Prescription Billing Information

Members need to bring their Benefits Identification Card (BIC) from Medi-Cal to the pharmacy with their prescriptions. Alliance identification cards cannot be used for Medi-Cal Rx billing.

BIN	PCN	Group
022659	6334225	MediCalRx
Medi-Cal Rx Customer Service Center: 800-977-2273

Please note: This does not affect IHSS members. IHSS members can continue using their Alliance ID card.

Medi-Cal Rx Contract Drugs List and Prior Authorization Requests

The list of covered drugs for Medi-Cal Rx, or Contract Drugs List (CDL), is available on the Medi-Cal Rx website. Certain pharmacy drugs and medical supplies may require prior authorization (PA). Prior authorization requests must be submitted to Medi-Cal Rx via one of the following methods:

Medi-Cal Rx Provider Portal.
CoverMyMeds® (CMM).
Fax: 800-869-4325.
United States (US) Mail:
- Medi-Cal Rx Customer Service Center
  ATTN: Provider PA Requests
  P.O. Box 730
  Rancho Cordova, CA 95741-0730
NCPDP P4 – Request Only.

The Medi-Cal Rx PA Request Form and additional information are available on the Medi-Cal Rx website or by calling Medi-Cal Rx at 800-977-2273.

Emergency Dispensing of 14-Day Supply

Contact Medi-Cal Rx