Medi-Cal Rx PBM Information

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Date: December 29, 2021
To: All Pharmacies
Provider Alert Type: Informational
From: Health Plan of San Joaquin
Subject: Medi-Cal Rx PBM Information
Business: Medi-Cal

Beginning January 1, 2022, Health Plan of San Joaquin pharmacy benefits will be transitioned to and administered by the new California State agency, Medi-Cal Rx. Medi Cal Rx is responsible for adjudicating all outpatient pharmacy drugs. DHCS has partnered with Magellan Health to provide this benefit and support Medi-Cal Rx.

PLEASE READ AND POST THE ATTACHED MEDI-CAL RX PBM INFORMATION

The attached includes steps to access the Medi-Cal AEVS website if the member does not

  1. Have their Medi-Cal client index number
  2. Have the beneficiary identification number
  3. Have their Health Access Program identification (ID)

The information provided on the attachment also includes needed information for a prescription claim to adjudicate at the point-of-sale for the pharmacy

Download Attachment

Posted on December 30th, 2021 and last modified on December 30th, 2021.

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