Medi-Cal Rx: CoverMyMeds Prior Authorization Request Submission

CoverMyMeds (CMM) Prior Authorization (PA) submission channel allows pharmacies and prescribers to initiate and submit PAs. CMM interacts in real time with Medi-Cal Rx system (FirstRx℠) to present clinical questions and covered alternatives directly to the prescriber, allowing the ability for real-time approvals.

• CoverMyMeds Website: covermymeds.com/main
• CoverMyMeds Support Center: 1-866-452-5017
• Medi-Cal Rx Customer Service Center Toll-Free Number: 1-800-977-2273 (available 24 hours a day, 7 days a week, 365 days per year)

Medi-Cal RX: CoverMyMeds How-To Guide

https://medi-calrx.dhcs.ca.gov/cms/medicalrx/static-assets/documents/provider/forms-and-information/Medi-Cal_Rx_CoverMyMeds_Flyer.pdf

Five Ways to Submit a Prior Authorization:

https://medi-calrx.dhcs.ca.gov/cms/medicalrx/static-assets/documents/provider/forms-and-information/PF_5_Ways_to_Submit_a_PA_Flyer.pdf

If you have any questions, please contact a Provider Relations Representative at 800-700-3874 Ext. 5504.