Pharmacy Resources

OneCare (HMO SNP) Medicare Part D

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General Resources

Formulary Resources

Clinical Resources

Medication Therapy Management

Forms

OneCare Pharmacy Prior Authorization Form

Claims and Billing Information

To submit claims via point of service to both OneCare Connect and CalOptima’s Medi-Cal Plan:

OneCare
Covered Part D Medications
BIN: 015574
PCN: ASPROD1
Group #: CAT04

CalOptima’s Medi-Cal Plan
Excluded Part D Medications
BIN: 017142
PCN: ASPROD1
Group Number: CAT03

If you have questions, you can contact the CalOptima Pharmacy Management department Monday through Friday from 8 a.m. to 4 p.m. at 1-714-246-8471.

Suggestions

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Residency Program

The CalOptima PGY-1 Managed Care Pharmacy Residency program provides residents with a broad overview of managed care pharmacy practice at a county organized health system (COHS).

Download the brochure

Formularies

CalOptima Formularies via Epocrates
Latest formulary information provided by CalOptima.

Plan Profile Sheets

CalOptima Plan Profile Sheets
Tailored to each program

Pharmacy Benefit Manager is MedImpact

MedImpact administers CalOptima’s pharmacy program. It provides claims processing, pharmacy network management, prior authorization processing and drug utilization management services.

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