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.
Medi-Cal Rx
Find a pharmacy, search the Contract Drugs List or contact Medi-Cal Rx customer service
OneCare Resources
Clinical Resources
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
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
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.
CalOptima Health OneCare Complete (CAT04)
MedImpact provides information to assist you in processing OneCare Complete claims.CalOptima Health PACE Part D (CAT05)
MedImpact provides information to assist you in processing PACE Part D claims.CalOptima Health PACE (CAT06)
MedImpact provides information to assist you in processing PACE claims.CalOptima Health OneCare Flex Plus (CAT07)
MedImpact provides information to assist you in processing OneCare Flex Plus claims.