**Attention: For information related to the AB 97 Recoupment process, please view the AB 97 Pharmacy Recoupment EPC Frequently Asked Questions.
Assembly Bill (AB) 97 (Chapter 3, Statutes of 2011) requires the Department of Health Care Services (DHCS) to implement payment reductions up to ten percent to most categories of services in the Medi-Cal program, including pharmacy. DHCS received federal approval for the implementation of ten percent pharmacy payment reductions, effective June 1, 2011.
CA AB 97 Pharmacy Drug Exemption Application (MC 3153 Rev03/14)
MC 3153 Instructions
CA AB 97 Provider Exemption Application (MC 3154)
MC 3154 Instructions
List of AB 97 Exempted Drugs with NDCs as of 10-27-16 (.xls)
Must have MS Excel or Excel viewer to view the list.
Therapeutic Drug Categories Subject to AB 97 Exemption (PDF)
DHCS California State Plan (Title XIX)