Pharmacy Resources

OneCare (HMO SNP) Medicare Part D

Find a Pharmacy Use the search tool to find a network pharmacy near you.

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 CalOptima Health’s OneCare Plans and Medi-Cal Rx.

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

OneCare Flex Plus
Covered Part D Medications
BIN: 015574
PCN: ASPROD1
Group #: CAT07

Medi-Cal Rx
Excluded Part D Medications
BIN: 022659
PCN: 6334225
Group Number: MediCalRx

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

Suggestions

Download a suggestion form

Residency Program

The CalOptima Health 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), with direct patient care through a variety of clinical services.

Learn more about the Pharmacy Residency program

Plan Profile Sheets

CalOptima Health Plan Profile Sheets
Tailored to each program

Pharmacy Benefit Manager is MedImpact

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

Materials available on this website in PDF format may require the free Adobe Reader to view. To download Adobe Reader for free from the Adobe website, click here.