Pharmacy Information

Pharmacy Resources

OneCare (HMO SNP) Medicare Part D

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General Resources

Formulary Resources

Clinical Resources

Forms

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

Contact Us
  • 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
Residency Program
  • The CalOptima Health 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), with direct patient care through a variety of clinical services.

    Learn more about the Pharmacy Residency program
Plan Profile Sheets
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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