Pharmacy Resources

Medi-Cal and CalOptima Direct

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

CalOptima Prior Authorization Form Use this form for Prior Authorization requests.

General Resources

Early Refills of Chronic Medications Allowed, Effective February 28, 2020
CalOptima Direct Financial Responsibility Matrix for Pharmaceuticals, Nutritional Products and Disposable Medical Supplies
CalOptima PHC/HMO/SRG Financial Responsibility Matrix for Pharmaceuticals, Nutritional Products and Disposable Medical Supplies
CalOptima Pharmacy Services Program Procedures
Phone Support Numbers/Health Network and Medical Supply Vendor Numbers

Formulary Resources

Clinical Resources

Forms

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

Download a suggestion form

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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