Pharmacy Benefits Will Change: January 1, 2021

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Date: October 15, 2020
To: Health Plan of San Joaquin (HPSJ) Provider Network
From: Health Plan of San Joaquin
Subject: Pharmacy Benefits Will Change: January 1, 2021
Business: Medi-Cal

Effective January 1, 2021 –

  • Health Plan of San Joaquin pharmacy benefits will be transitioned to and administered by the new agency, Medi-Cal Rx.
  • ALL outpatient pharmacy drugs will be covered by Medi-Cal Rx.
  • The Department of Health Care Services (DHCS) has partnered with Magellan Medicaid Administration, Inc. to provide this benefit and support Medi-Cal Rx.

(4) Things you can do NOW!

  1. Register for the secure Medi-Cal Rx Provider Web Portal.
  2. Create a plan for your HPSJ patients’ medication starting January 1, 2021. DHCS has created a transition plan to ensure that coverage for beneficiaries’ medication will continue from January 1, 2021.
  3. Review online,
    1. Medical Rx Pharmacy Transition Policy
    2. Contract Drug List (CDL)
    3. List of covered pharmacy providers
  4. Call, if you have questions:
    1. Before Jan 1: Medi-Cal Member Help Line, 1-800-541-5555 TTY/TDD 711, Monday through Friday, 8 am to 5 pm.
    2. As of Jan 1, 2021, Medi-Cal Rx Call Center Line, 1-800-977-2273 TTY/TDD 711, 24/7, or visit

During this transition, HPSJ wants to make sure our members are served without disruption – and you, your staff and business operations are supported. Look for more from HPSJ in coming days.

Attached: 90-Day Notice from DHCS to Medi-Cal Members (3 pages)

Posted on October 16th, 2020