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Pharmacy

The CalOptima Health Pharmacy Management department serves each of our programs. For more information, please call the Pharmacy manager at 714-246-8471.

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Pharmacy Residency Program

About the Program

Medi-Cal Resources

CalOptima Health’s Medi-Cal pharmacy benefit operates under Medi-Cal Rx, the Department of Health Care Services’ fee-for-service Medi-Cal delivery program.

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Medi-Cal Rx

Find a pharmacy, search the Contract Drugs List or contact Medi-Cal Rx customer service

Visit the Medi-Cal Rx Website

Medi-Cal Rx Customer Service Phone Number

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Clinical Resources

Pharmacy Updates

Medi-Cal Drug Use Review

Pharmacy and Therapeutics Committee Changes

The Pharmacy and Therapeutics Committee makes changes to the CalOptima Health approved drug list and OneCare (HMO D-SNP) formulary, depending upon the need or nationally updated guidelines.

2025

February 2025

2024

November 2024

August 2024

May 2024

February 2024

True Metrix and TRUEtrack Program Information

A True and No-Cost Way to Track Diabetes

Our members with diabetes can get help tracking their glucose levels with the True Metrix and TRUEtrack meter. This meter is dispensed by our pharmacies at no cost to the member, giving them a quick way to help manage their disease.

True Metrix and TRUEtrack Meter Processing Information

BIN: 018844

PCN: 3F

ID: TRPT5023493

Group: FVTRUEPORT50

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

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Plan Profile Sheets

MedImpact is CalOptima Health’s pharmacy benefit manager, which administers our pharmacy program by providing claim processing, pharmacy network management, prior authorization processing and drug utilization management services. For more information about the CalOptima Health Pharmacy Program, please call Pharmacy Management at 714-246-8471.

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