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Medi-Cal Rx

On January 1, 2022, the Department of Health Care Services (DHCS) changed the pharmacy benefit. Your outpatient prescription medications will be covered by Medi-Cal Rx. Please read below for more information.

Frequently asked questions (FAQs)

Starting January 1, 2022, you will get your covered prescriptions through Medi-Cal Rx instead of Aetna Better Health of California.

 

Covered prescriptions are medications and medical supplies that your doctor prescribes that you pick up later at the pharmacy.

 

Aetna Better Health of California will continue to cover physician administered drugs (PADs). Physician administered drugs are medications you receive from a provider while you are in a doctor’s office, a hospital, or an infusion center. If you have questions regarding a physician administered drug, you can give us a call at 1-855-772-9076 (TTY: 711).

Medi-Cal pharmacy benefit is now called “Medi-Cal Rx."

Department of Health Care Services (DHCS) contracted with Magellan Medicaid Administration, Inc. (Magellan) to provide pharmacy services (Medi-Cal Rx).

No, the cost of your medications will not change. 

Most people will not need to change their medications. Your doctor may need to get approval to refill some prescriptions. He or she may talk to you about changing to a medication that does not require prior approval. 

The contract drug list is a list of medications that is covered by Medi-Cal Rx. Click here for the most current Contract Drugs List (CDL). 

If you need help finding a pharmacy, visit online. You can find pharmacies near you by entering your zip code or city. On the website, you can also click on the “filter” button to locate pharmacies with specific services, such as mail order or delivery. For mail order services, you may want to call the pharmacy to check if the service is provided. The website may not show all pharmacies offering mail order services.

Please show the pharmacy your Medi-Cal Benefits Identification Card (BIC) when picking up your medications.

If you have any questions on your pharmacy benefits, you can call Customer Service Center at 1-800-977-2273, which is available 24 hours a day, 7 days a week or 711 for TTY Monday thru Friday, 8 AM to 5 PM.

You can call the Medi-Cal Rx Customer Care Center 1-800-977-2273 24 hours a day, seven days a week, or 711 for TTY, Monday thru Friday, 8am to 5pm.

For complaints on or after January 1, 2022, you can submit your complaints by telephone or in writing. Please call Medi-Cal Rx Customer Care Center 1-800-977-2273, available 24 hours a day, seven days a week, or 711 for TTY, Monday thru Friday, 8am to 5pm.

Have questions?

Call Member Services at
1-855-772-9076 (TTY: 711).

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