OneCare (HMO SNP)
(Medicare Part D) 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 OneCare (HMO SNP) members provides contracted pharmacists with the critical information they need to treat our members.

General Resources

OneCare (HMO SNP) Pharmacy Services Program ProceduresPDF File Indicator Image

Telephone and Fax Support Numbers / Medical GroupsPDF File Indicator Image

Formulary Resources

View The 2018 OneCare List of Covered Drugs (Formulary) Including Prior Authorization Criteria And Step Therapy Criteria PDF File Indicator Image

View The 2019 OneCare List of Covered Drugs (Formulary) Including Prior Authorization Criteria And Step Therapy Criteria PDF File Indicator Image

OneCare Transition PolicyPDF File Indicator Image

Pharmacy and Therapeutics Committee Changes

Forms

OneCare Pharmacy Prior Authorization FormPDF File Indicator Image

Clinical Resources

Medication Therapy Management

Claims and Billing Information

Below is the billing information to submit claims via point of service to both OneCare and CalOptima's Medi-Cal plan:

OneCare (HMO SNP)

CalOptima's Medi-Cal Plan

Covered Part D Medications

BIN: 015574

PCN: ASPROD1

Group #: CAT04

Excluded Part D Medications

BIN: 017142

PCN:  ASPROD1

Group #: CAT03

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