Pharmacy Resources

OneCare (HMO SNP) Medicare Part D

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General Resources

Formulary Resources

Clinical Resources

Medication Therapy Management

Forms

OneCare Pharmacy Prior Authorization Form

Claims and Billing Information

To submit claims via point of service to both OneCare Connect and CalOptima’s Medi-Cal Plan:

OneCare
Covered Part D Medications
BIN: 015574
PCN: ASPROD1
Group #: CAT04

Medi-Cal Rx
Excluded Part D Medications
BIN: 022659
PCN: 6334225
Group Number: MediCalRx

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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