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Medi-Cal Contracted Specialty Pharmacy Locations for Blood Factors

Coagulation factors for bleeding disorders, such as hemophilia, represent the first class of specialty drugs to utilize provider contracts. These products are identified in Welfare and Institutions Code (W&I Code) 14105.86(a)(2)(A).
 
The Department of Health Care Services (DHCS) will contract with any specialty pharmacy that will sign a contract to meet a list of performance obligations. These include, but are not limited to, delivery time requirements, providing patient education and submitting quarterly and yearly reports to DHCS.
 
A provider who does not sign an agreement to become a provider under these provisions will no longer be allowed to provide the specialized drug to Medi-Cal, California Children’s Services or Genetically Handicapped Persons Program recipients.

Contracted Specialty Provider

A Contracted Speciality Provider is defined as a provider that meets the unique specialized care needs of the Medi-Cal population who utilize specialty drugs. Only Contracted Specialty Providers are eligible to provide contract blood factors.

Contracted Specialty Provder List

The following is a list of the Contracted Specialty Providers as of July 1, 2017:

 
 City Name of Facility Address Zip PhoneNumber      NPI

Aliso Viejo

Guided Alliance Pharmacy, Inc.

27111 Aliso Creek Road, Suite 185A

92656

(949) 496-4106

1831381904

Arcadia

Fidelis Specialty Pharmacy

1002 South Baldwin Avenue

91007

(626) 447-2138

1316135569

Bakersfield

Option Care

5800 District Boulevard, Suite 200

93313

(866) 436-4376

1972894772

Baldwin Park

Premier Pharmacy Service

410 Cloverleaf Drive

91706

(800) 540-4700

1053486795

Burbank

​BioScrip Infusion Services

​320 South Flower St., Ste A

​91502

(800) 584-0265

​1942225586

Burbank

Quality Home Infusion

212 W. Magnolia Boulevard

91502

(818) 848-8112

1639358047

Camarillo

Factor Support Network Pharmacy

900 Avenida Acaso, Suite A

93012

(877) 376-4968

1467412247

Carlsbad

Diplomat Specialty Infusion Group

1819 Aston Avenue, Suite 102

92008

(513) 792-7080

1346593118

Chico

Walgreens Infusion Services

132 Mission Ranch Boulevard

95926

(866) 436-4376

1083715312

Commerce

AcariaHealth Pharmacy #13

​3302 Garfield Avenue

​90040

(800) 511-5145

​1992786495

Corona

​Accredo Health Group

​1831 Commerce Street, Ste 104

​92880

(800) 622-1820

​1952359150

Cypress

Hemophiliac Support Systems

5721 Lincoln Avenue, Suite L

90630

(866) 439-4366

1861558132

Duarte

City of Hope Pharmacy

1500 E. Duarte Road

91010

(626) 256-4673

1346283140

Fresno

Herndon Pharmacy

1827 E. Fir Avenue, Suite 101

93720

(559) 297-9002

1013917483

Fresno

Valley Children's Home Care

​7555 N. Del Mar Avenue, Suite 101

​93711

(559) 353-7125

​1275612673

Goleta

Santa Barbara Specialty Pharmacy

174 Aero Camino

93117

(805) 770-2061

1609209352

Hayward

Crescent Healthcare

2547 Barrington Court

94545

(866) 436-4376

1922074749

Inglewood

Soleo Health

721 S. Glasgow Avenue, Suite C

90301

(310) 833-5508

1013134113

Irvine

​BioScrip Infusion Services

​199 Technology Dr., Ste 140 & 150

​92618

(855) 356-4540

​1619315744

Irvine

Oso Home Care

17175 Gillette Avenue

92614

(949) 660-7126

1215966205

Loma Linda

Community Healthcare Services

24747 Redlands Boulevard Suite D

92354

(877) 616-6247

1538497235

Long Beach

Home Care Pharmacy

450 E Spring Street, Suite 11

90806

(562) 933-2273

1972514503

Los Angeles

​Children’s Hospital Los Angeles 

​4650 W. Sunset Blvd

​90027

(323) 660-2450

1124073366

Los Angeles

Children’s Hospital Los Angeles 

4650 W. Sunset Blvd

90027

(323) 660-2450

1659552636

Los Angeles

Orthopaedic Hospital Outpatient Pharmacy 

403 W. Adams Boulevard

90007

(213) 742-1128

1386627966

Menlo Park

LPCH Children’s Home Pharmacy 

4600 Bohannon Drive, Suite 105

94025

(650) 497-8316

1407864374

Oakland

Children's Clinic Pharmacy

747 52nd Street

94609

(510) 428-3851

1588833347

Ontario

​Diplomat Specialty Pharmacy

​1809 Excise Avenue, Ste 205-208

​91761

(909) 881-1728

​1659479632

Orange

Specialty Care Rx

2140 West Chapman Ave, #110

92868

(714) 941-6177

1104191592

Palm Desert

River's Edge Pharmacy

36919 Cook Street #102

92211

(760) 340-3248

1689823486

Port Hueneme

Hueneme Family Pharmacy

261 E. Port Hueneme Road

93041

(805) 488-8200

1023296449

Redlands

Beeman’s Redlands Pharmacy

255 Terracina Boulevard, Ste 103

92374

(909) 792-2300

1659550176

Redlands

CVS/Caremark Specialty Pharmacy

1127 Bryn Mawr Avenue, Suite A

92374

(909) 799-4374

1013998921

Riverside

Crescent Healthcare

2010 Iowa Avenue

92507

(866) 436-4376

1043339807

Sacramento

AcariaHealth Pharmacy #14

​4225 Northgate Blvd, Suite 2

​95834

(800) 511-5144

​1699096842

Sacramento

UCD Med Center Davis at Home Factor Program 

2360 Stockton Boulevard, Ste 1100

95817

(888) 437-5185

1578639308

Sacramento

Option Care

​5491 Carlson Drive

​95819

(866) 436-4376

​1316940646

San Diego

Crescent Healthcare

15025 Innovation Drive, Suite 100

92128

(866) 436-4376

1285600072

San Diego

Rady Children's HomeCare Pharmacy

8291 Aero Place, Suite 130

92123

(800) 669-9749

1699853713

San Diego

UCSD Home Infusion Pharmacy

9610 Ridgehaven Court, Suite A

92123

(619) 543-5231

​1730273582

San Francisco

UCSF Regional Adult Hemophilia Treatment Center

400 Parnassus Avenue, 4th Floor

94143

(415) 353-2421

1285818112

​San Francisco ​UCSF Regional Pediatric Hemophilia Treatment Center

​Ron Conway Family Gateway Med Bldg
1825 Fourth Street, 6th Floor

​94158 ​(415) 476-4901 ​1285818112

San Luis Obispo

Crescent Healthcare

2995 McMillan Avenue

93401

(866) 436-4376

1154397966

Santa Ana

Center for Inherited Blood Disorders Pharmacy

2670 N. Main Street, Suite 150

92705

(949) 748-7521

1598067613

Santa Fe Springs

Crescent Healthcare

11980 Telegraph Road, Suite 102

90670

(866) 436-4376

1932192523

Santa Fe Springs

Crescent Healthcare

11980 Telegraph Road, Suite 100

90670

(866) 436-4376

1225204050

Sun Valley

Option Care

9401 Chivers Avenue

91352

(866) 436-4376

1518912344

Temecula

NuFACTOR, Inc.

41093 County Center Drive, Ste B

92591

(800) 323-6832

1861599540

Torrance

Premier Infusion Care

19500 Normandie Avenue

90502

(310) 328-3897

1417904574

Ventura

Option Care

4867 Colt St.

93003

(866) 436-4376

1952353625

Last modified on: 8/8/2017 11:06 AM