Pharmacy Resources

Medi-Cal and CalOptima Direct

Medi-Cal Rx begins January 1, 2022

As of January 1, 2022, the Medi-Cal outpatient pharmacy benefit will transition from CalOptima to Medi-Cal Fee-For-Service under a program called Medi-Cal Rx. DHCS is working with a new contractor (Magellan Rx) to provide Medi-Cal Rx services.

Starting on January 1, 2022, providers can use a secure Medi-Cal Rx portal to access the following systems:

Prior Authorizations
Secure Chat and Messaging
Beneficiary Eligibility Lookup
Education and Outreach Calendar

Visit the DHCS Medi-Cal Rx website for instructions on how to register for the Medi-Cal Rx portal:
https://medi-calrx.dhcs.ca.gov/provider/

Visit the Medi-Cal Rx Website Find a pharmacy, search the Contract Drugs List and more at the DHCS Medi-Cal Rx website.

Medi-Cal Rx Customer Service Center Phone Number Information Find tips to navigate the Medi-Cal Rx Customer Service Center phone line.

General Resources

Clinical Resources

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

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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.

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