Thov saib cov ntaub ntawv hauv qab no txog kev hloov pauv tshuaj uas kws kho mob muab (PADs) thiab Alliance nyiam cov PADs. Nco ntsoov: cov kev hloov tshiab no tsuas yog rau Medi-Cal thiab IHSS xwb.
Yog xav paub ntxiv txog cov tshuaj uas kws kho mob muab, suav nrog cov qauv thiab cov cai, thov mus saib peb lub vev xaib:
- Cov tshuaj uas kws kho mob muab (rau Medi-Cal thiab IHSS).
- Cov tshuaj uas kws kho mob muab (TotalCare HMO D-SNP).
Cov kev hloov pauv ntawm PADs siv tau txij li Lub Rau Hli 1, 2026
Lub Koom Haum tau hloov pauv cov txiaj ntsig tshuaj uas kws kho mob muab. Koj tuaj yeem nrhiav cov qauv kev tso cai ua ntej (PA) ntawm peb lub vev xaib.
Cov kev hloov pauv yog raws li nram no:
| HCPCS Code | Tshuaj | Hloov | Nyiam Tshuaj |
| J0013 | Esketamine (Spravato) | Cov txheej txheem PA tshiab | |
| j0585 ua | OnabotulinumtoxinA (Botox) | Cov qauv PA hloov kho rau kev kuaj mob migraine ntev | Ob lossis ntau dua ntawm cov tshuaj tiv thaiv kab mob hauv qab no:
|
| j0585 ua | OnabotulinumtoxinA (Botox) | Cov qauv PA tshiab rau kev kuaj mob gastroparesis | Metoclopramide, erythromycin thiab tshuaj tiv thaiv kev ntuav (xws li ondansetron lossis promethazine) |
Lub Koom Haum tau hloov kho cov cai ntawm cov khw muag tshuaj hauv qab no:
- 403-1101: Kev Tswj Xyuas Kev Ua Haujlwm ntawm Chaw Muag Tshuaj
- 403-1101: Cov Txheej Txheem ntawm Medi-Cal Rx MCP Portal
- 403-1101: Daim Ntawv Txuas B Medi-Cal Rx Kev Tswj Xyuas Tus Neeg Siv Uas Tau Xaiv Tseg
- 403-1103: Pharmacy Authorization Request Process Review
- 403-1109: Tsis yog-FDA pom zoo tshuaj thiab tshuaj ntsuab
- 403-1112: Therapeutic Equivalence of Generic Drugs
- 403-1142: Biosimilars, ib
- 403-1144: Kev Muab Kev Pabcuam Npaj Tsev Neeg Hauv Tsev Muag Tshuaj
- 403-1146: Txoj Cai Them Rov Los Siv Tshuaj Txhaum Cai
- 403-1151: Txoj Cai Hauv Tsev Infusion
- 403-1154: Naloxone Distribution Program
- 403-1160: Cov Txheej Txheem Txiav Txim Siab Txog Lub Koom Haum ntawm TotalCare Pharmacy Seem B rau Cov Tswv Cuab D-SNP
- 403-1162: TotalCare (HMO D-SNP) Kev Pab Cuam Tswj Tshuaj
Yog xav thov ib daim qauv, thov hu rau Alliance Pharmacy Department ntawm 831-430-5507.
Cov tshuaj uas kws kho mob muab rau Alliance nyiam
Cov lus qhia no yog tsim los txhawb kev txiav txim siab hauv kev kho mob los ntawm kev qhia txog cov tshuaj uas Alliance nyiam siv los ntawm kws kho mob. Thov xav txog cov kev xaiv no thaum tsim nyog, thaum txuas ntxiv siv kev txiav txim siab hauv kev kho mob los txiav txim siab qhov kev kho mob zoo tshaj plaws rau txhua tus neeg mob. Nco ntsoov: cov tshuaj uas nyiam siv tseem yuav tsum tau kev tso cai ua ntej.
| Kho chav kawm | Cov Tshuaj Kho Mob Uas Pab Txhawb Nqa Los Ntawm Alliance (HCPCS) | Cov Tshuaj Tsis Nyiam (HCPCS) |
| Granulocyte colony-stimulating factor (G-CSF) | Cov tshuaj biosimilars Filgrastim:
|
J1442- Neupogen (filgrastim) |
| G-CSF ua haujlwm ntev | J2506 – Neulasta (pegfilgrastim) | Pegfilgrastim biosmilars:
|
| Cov tshuaj tiv thaiv CD20 monoclonal | Cov tshuaj Rituximab biosimilars:
|
J9312 – Rituxan (rituximab) |
| Kev kho mob chemotherapy - bevacizumab | Cov tshuaj Bevacizumab biosimilars:
|
J9035 – Avastin |
| Anti-VEGF (kev kho qhov muag) | Kev sim tshuaj Avastin (J9035) ua ntej ces Lucentis (J2778) |
|
| Kab mob pob txha | J3489 - Zoledronic acid |
|
| Hlau txhaj tshuaj |
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