Pharmacy Benefits Cov lus nug uas nquag nug​​ 

Kuv lub tsev muag tshuaj hais rau kuv tias Medi-Cal tsis them kuv cov tshuaj.  Kuv yuav ua li cas?​​ 

Qee cov tshuaj yuav xav kom lub tsev muag tshuaj xa Daim Ntawv Tso Cai Ua Ntej (PA) kom nug Medi-Cal Rx kom tso cai sau koj daim ntawv xaj. Feem ntau nws yuav siv sijhawm 24 teev rau Medi-Cal Rx los ua PA. Hais kom tus kws muag tshuaj tham nrog koj tus kws kho mob txog cov tshuaj.​​ 

Kuv puas tuaj yeem tau txais kuv cov tshuaj thaum ntxov?​​ 

Kev rov qab ua ntej yuav raug them thaum muaj qhov nce ntxiv, yog tias tus neeg txais txiaj ntsig tau mus rau hauv lossis tawm hauv tsev laus, lossis yog tias cov tshuaj poob lossis raug nyiag lawm. Lub tsev muag tshuaj tej zaum yuav tau hu rau Medi-Cal Rx kom tau txais kev pom zoo muab tshuaj thaum ntxov.  Cov neeg tau txais txiaj ntsig tuaj yeem tau txais txog li 100-hnub muab ntau yam tshuaj. Yog tias koj nquag noj tshuaj, tiv tauj koj tus kws kho mob thiab sib tham txog kev kho koj cov tshuaj kom tau raws li koj cov kev xav tau tam sim no.​​ 

Kuv puas tuaj yeem tau txais kuv cov tshuaj ntxov yog tias kuv mus so?​​ 

Medi-Cal tsis tso cai rau koj cov tshuaj ntxiv thaum ntxov tshwj tsis yog tias nws tsim nyog kho mob. Koj yuav tsum ua haujlwm nrog koj lub tsev muag tshuaj thiab tus kws kho mob kom nce cov nyiaj tau los yog tias koj paub tias koj yuav mus so, lossis kom muaj tshuaj xa tuaj rau koj thaum koj so.​​ 

Qee cov tshuaj muaj kev txwv ntau npaum li cas tuaj yeem faib rau ib lub sijhawm. Yog tias koj cov tshuaj noj ntau dua li qhov txwv, lub tsev muag tshuaj tuaj yeem xa Daim Ntawv Tso Cai Ua Ntej (PA) kom nug Medi-Cal Rx kom tso cai muab ntau dua rau koj.​​ 

Kuv Lub Tsev Muag Tshuaj tau hais rau kuv tias kuv cov khoom siv kho mob ntshav qab zib tsis tau them.  Puas muaj tseeb?​​ 

Tsis yog, qhov ntawd tsis muaj tseeb. Cov khoom siv kho mob ntshav qab zib tshwj xeeb tau them rau Medi-Cal cov txiaj ntsig thiab tsuas yog tuaj yeem tau los ntawm lub tsev muag tshuaj. Cov khoom siv kho mob ntshav qab zib muaj xws li ntshav qab zib cov ntshav thiab cov zis kuaj strips, lancets, qee qhov ntsuas thiab lawv cov khoom siv, cov koob txhaj tshuaj insulin, cov ntaub qhwv dej cawv, cov khoom siv tshuaj xyuas tas li (CGM), thiab cov khoom siv tshuaj insulin pov tseg (DIDD). Qee qhov kev txwv siv rau kev pab them nqi kho mob. Cov ntaub ntawv hais txog cov khoom no muaj nyob rau ntawm Medi-Cal Rx lub vev xaib. Nug koj lub tsev muag tshuaj hu rau Medi-Cal Rx Lub Chaw Pabcuam Cov Neeg Siv Khoom (CSC) ntawm (800) 977-2273 yog lawv xav tau kev pab them nqi ntxiv Medi-Cal Rx rau koj cov khoom siv kho mob ntshav qab zib.​​ 

Kuv puas tuaj yeem tau txais cov tshuaj npe tshuaj thaum muaj cov khoom siv dav dav?​​ 

Cov tshuaj nquag muaj kev nyab xeeb thiab siv tau zoo, muaj tib yam khoom muaj txiaj ntsig thiab ua haujlwm tib yam li lub npe hom. Medi-Cal tuaj yeem them rau cov tshuaj muaj npe yog tias tsis muaj cov khoom lag luam lossis yog tias koj tus kws kho mob txiav txim siab lub npe tshuaj yuav tsum tau kho. Nyob rau hauv rooj plaub uas koj tus kws kho mob xav kom koj muaj lub npe tshuaj thaum muaj cov khoom lag luam, Daim Ntawv Tso Cai Ua Ntej (PA) yuav tsum tau ua kom tiav los ntawm lub tsev muag tshuaj ua ntej koj yuav tso cai kom tau txais lub npe hom.​​ 

Puas muaj tshuaj kho mob tom khw (OTC)?​​ 

Tsuas yog qee yam tshuaj OTC yuav raug them nrog daim ntawv tshuaj. Qee cov tshuaj OTC yuav xav kom lub tsev muag tshuaj xa Daim Ntawv Tso Cai Ua Ntej (PA) kom nug Medi-Cal Rx kom pom zoo los sau koj daim ntawv xaj.​​  

Kuv puas tuaj yeem thov rov qab ua ntej yog tias kuv cov tshuaj poob lossis raug nyiag lawm?​​ 

Medi-Cal yuav them cov tshuaj poob, raug nyiag los yog puas lawm. Lub tsev muag tshuaj tej zaum yuav tau hu rau Medi-Cal Rx kom tau txais kev tso cai ua ntej kom xa tshuaj sai.​​  

Kuv raug them los ntawm Medicare thiab Medi-Cal.  Vim li cas M edi-Cal tsis them rau kuv cov tshuaj?​​ 

Thaum ib tus neeg tau txais txiaj ntsig Medi-Cal muaj cai tau txais Medicare, Medicare Part D yuav them rau feem ntau cov tshuaj. Medi-Cal tsuas yog them rau ob peb yam tshuaj uas tsis suav nrog koj txoj kev npaj Part D. Yog tias koj xav tau kev pab txhawm rau nrhiav thiab tso npe rau hauv Part D txoj kev npaj, thov hu rau (800) Medicare lossis (800) 633-4227.​​ 

Puas yog Medi-Cal them rau Viagra?​​ 

Tsis yog. Medi-Cal tsis them rau tej yam tshuaj rau kev sib deev lossis kev ua haujlwm erectile kawg.​​ 

Puas yog Medicaid npog cov khoom lag luam txiav luam yeeb? (eg Chantix, Zyban thiab nicotine hloov kho)​​ 

Yog lawm. Medi-Cal them nyiaj rau cov khoom haus luam yeeb. Tsis tas li ntawd, Cov Neeg Haus Luam Yeeb Kev Pab Cuam ntawm (800) TSIS TAU ((800) 662-8887) yog ib qho kev pab dawb pub dawb rau txhua tus neeg hauv California suav nrog cov neeg tau txais txiaj ntsig Medi-Cal.​​ 

Puas yog Medi-Cal muaj daim ntawv tso cai?​​ 

Yog lawm, Medi-Cal muaj cov txheej txheem hu ua "Medi-Cal Rx Daim Ntawv Cog Lus Tshuaj" (CDL). Cov tshuaj nyob rau hauv daim ntawv teev npe no feem ntau tsis tas yuav muaj kev tso cai ua ntej. Cov tshuaj tsis nyob hauv CDL yuav tsum tau tso cai ua ntej.  CDL tuaj yeem nrhiav tau ntawm Medi-Cal Rx cov ntaub ntawv thiab nplooj ntawv xov xwm. Xaiv Cov Khoom Muag Khoom ntawm sab laug tes. Kev hloov tshiab yog ua rau daim ntawv teev npe txhua hli. Cov tshuaj muaj npe los ntawm lawv lub npe. 
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Cov khoom siv kho mob pov tseg rau tus neeg mob sab nraud, cov khoom noj khoom haus nkag mus, cov tshuaj kws kho mob muab tshuaj, thiab cov khoom siv kho mob ntev (DME) tuaj yeem them rau Medi-Cal cov kev pab cuam hauv khw muag tshuaj. Medi-Cal tswj cov qauv ntawm cov nyiaj pab them nqi kho mob ntawm Medi-Cal Rx lub vev xaib raws li Cov Chaw Kho Mob thiab Cov Neeg Koom Tes / Cov Khoom Siv Tshuaj / Cov Khoom Muag Khoom Muag lossis hauv Medi-Cal.ca.gov lub vev xaib / Pharmacy Manual nyob rau hauv Cov Khoom Siv Kho Mob, Cov Khoom Siv Kho Mob, lossis Incontinence Cov khoom siv kho mob. Cov txheej txheem tshwj xeeb thiab kev siv cov kev tswj xyuas siv rau feem ntau cov txiaj ntsig thiab tau txhais nyob rau hauv cov qauv tsim​​ 

Yam tshuaj twg yuav tsum tau Kev Tso Cai Ua Ntej (PA)?​​ 

Txhua yam tshuaj uas tsis tau teev tseg hauv CDL yuav tsum tau tso cai ua ntej. Tus kws sau ntawv lossis lub tsev muag tshuaj xa mus rau Medi-Cal Rx Daim Ntawv Tso Cai Ua Ntej (PA) kom tau txais kev pom zoo Medi-Cal.​​     

Puas muaj "retroactive" Daim Ntawv Tso Cai Ua Ntej (PA) tuaj yeem tau txais rau daim ntawv sau ua ntej?​​ 

Retroactive PA cov lus thov tuaj yeem xa tuaj thiab yuav raug tshuaj xyuas raws li cov cai thiab cov cai uas tau tso cai ua ntej thaum lub sijhawm muab kev pabcuam. Tsis tas li ntawd, tag nrho cov kev txwv ncua sij hawm thov yuav raug siv yog tias PA raug pom zoo.​​  

Puas yog Medi-Cal them rau tshuaj maj?​​ 

Tsis yog, Medi-Cal yuav tsum ua raws li tsoomfwv txoj cai lij choj uas faib cov tshuaj maj ua txhaum cai raws li Schedule I (Class I) Tshuaj lossis Tshuaj.​​     

Yog xav paub ntxiv txog Pharmacy Information​​ 

Thov nrhiav tus tswv cuab ntxiv FAQ ntawm no.
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Koj tuaj yeem hu rau Medi-Cal Rx Lub Chaw Pabcuam Cov Neeg Siv Khoom (CSC) ntawm (800) 977-2273, uas muaj 24 teev hauv ib hnub, 7 hnub hauv ib lub lis piam, 365 hnub hauv ib xyoos.​​