Medi-Cal And CalOptima Direct Resources

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Questions




If you have questions or need assistance, call our Pharmacy Management Department at:

1-714-246-8471

Monday through Friday from 8 a.m. to 4 p.m. Pacific Time

Pharmacy Resources

CalOptima is dedicated to providing our members with the prescription medications they need. The resources for CalOptima members in Medi-Cal and CalOptima Direct provide contracted pharmacists with the critical information they need to treat our members.

General Resources

CalOptima Direct Financial Responsibility Matrix for Pharmaceuticals, Nutritional Products and Disposable Medical SuppliesPDF File Indicator Image

CalOptima PHC/HMO/SRG Financial Responsibility Matrix for Pharmaceuticals, Nutritional Products and Disposable Medical SuppliesPDF File Indicator Image

CalOptima Pharmacy Services Program ProceduresPDF File Indicator Image

Find a Pharmacy

Telephone Support Numbers/Health Network And Medical Supply Vendor Numbers PDF File Indicator Image

Formulary Resources

Approved Drug ListPDF File Indicator Image

CalWrap FormularyPDF File Indicator Image

Maintenance Drug ListPDF File Indicator Image

Medi-Cal Carve Out DrugsPDF File Indicator Image

Pharmacy and Therapeutics Changes

Short FormularyPDF File Indicator Image

True Metrix Program Information

Clinical Resources

Medication Use Treatment Guidelines

Forms

Approved Drug List Addition Request FormPDF File Indicator Image

CalOptima Prior Authorization FormPDF File Indicator Image

Six (6) Prescription Limit and Exemption FormPDF File Indicator Image

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