Introducing Medi-Cal Rx
On January 1, 2022, the Department of Health Care Services (DHCS) will change the pharmacy benefit for Medi-Cal members. Their prescription medications will be covered by a new program called Medi-Cal Rx. This does not change their Medi-Cal eligibility or benefits.
If the member is eligible for both Medicare and Medi-Cal, Medicare will continue to be the primary insurance coverage.
Prescription Billing for Medi-Cal Members After Medi-Cal Rx Transition (1/1/22 and after): 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.
|Medi-Cal Rx Customer Service Center 1-800-977-2273|
Submit Prior Authorization requests to Medi-Cal Rx by:
- Fax to 800-869-4325.
- Medi-Cal Rx Provider Portal.
- Mail: Medi-Cal Rx Customer Service Center, Attn: PA Request, PO Box 730, Sacramento, CA 95741-0730.
Please note: This does not affect IHSS members. IHSS members can continue using their Alliance ID card.
Understanding Changes in Pharmacy Benefits under Medi-Cal Rx
Contact Pharmacy Department
Monday-Friday, 8 a.m. to 5 p.m.