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

Tej zaum yuav muaj tej tshuaj uas lub tsev muag tshuaj yuav tsum xa daim ntawv tso cai ua ntej (PA) mus thov Medi-Cal Rx kom tso cai sau koj daim ntawv yuav tshuaj. Feem ntau nws yuav siv sijhawm 24 teev rau Medi-Cal Rx los ua daim PA. Thov 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 noj tshuaj dua thaum ntxov yuav raug them thaum muaj kev nce ntxiv ntawm cov tshuaj, yog tias tus neeg tau txais txiaj ntsig tab tom nkag mus lossis tawm hauv tsev laus, lossis yog tias cov tshuaj ploj lossis raug nyiag. Lub tsev muag tshuaj yuav tsum tau tiv tauj Medi-Cal Rx kom tau txais kev pom zoo kom muab tshuaj rau thaum ntxov. Cov neeg tau txais txiaj ntsig yuav tau txais ntau yam tshuaj txog li 100 hnub. Yog tias koj cov tshuaj feem ntau tas, hu rau koj tus kws kho mob thiab tham txog kev hloov kho koj daim ntawv yuav 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.​​ 

Kuv puas yuav tsum yog ib tug tswv cuab ntawm Costco kom tau txais kuv daim ntawv Medi-Cal Rx sau rau ntawm lub tsev muag tshuaj Costco?​​ 

Raws li Costco, kev ua tswv cuab tsis tas yuav tsum tau txais cov ntawv sau tshuaj. Thov mus saib ntawm Costco lub vev xaib kom paub ntau ntxiv.​​ 

Vim li cas kuv thiaj tsuas tau 30 ntsiav tshuaj yog tias kuv daim ntawv xaj yog rau 60?​​ 

Muaj qee cov tshuaj muaj kev txwv rau ntau npaum li cas tuaj yeem muab rau ib zaug. Yog tias koj daim ntawv yuav tshuaj ntau dua li qhov txwv, lub tsev muag tshuaj tuaj yeem xa daim ntawv tso cai ua ntej (PA) los thov Medi-Cal Rx kom tso cai rau koj muab ntau dua rau koj.​​ 

Kuv lub tsev muag tshuaj hais rau kuv tias kuv cov khoom siv ntshav qab zib tsis them. Puas yog qhov ntawd 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 muaj npe nrov thaum muaj cov tshuaj generic?​​ 

Cov tshuaj generic muaj kev nyab xeeb thiab zoo, muaj cov khoom xyaw nquag thiab ua haujlwm zoo ib yam li lub npe lag luam. Medi-Cal tuaj yeem them rau cov tshuaj muaj npe nrov yog tias tsis muaj tshuaj generic lossis yog tias koj tus kws kho mob xav tias lub npe nrov ntawd yog qhov tsim nyog rau kev kho mob. Yog tias koj tus kws kho mob xav kom koj siv lub npe lag luam thaum muaj tshuaj generic, tej zaum yuav tsum tau ua kom tiav daim ntawv tso cai ua ntej (PA) los ntawm lub tsev muag tshuaj ua ntej koj thiaj li tau txais lub npe lag luam.​​ 

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

Tsuas yog qee cov tshuaj OTC xwb thiaj li yuav muaj daim ntawv yuav tshuaj. Qee cov tshuaj OTC yuav xav kom lub tsev muag tshuaj xa daim ntawv tso cai ua ntej (PA) los thov Medi-Cal Rx kom pom zoo rau koj daim ntawv yuav tshuaj.​​ 

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

Medi-Cal yuav them rau cov tshuaj uas ploj lawm, raug nyiag, lossis puas lawm. Lub tsev muag tshuaj yuav tsum tau tiv tauj Medi-Cal Rx kom tau kev tso cai ua ntej kom muab tshuaj rau thaum ntxov.​​ 

Kuv tau txais kev pab them nqi los ntawm Medicare thiab Medi-Cal. Vim li cas Medi-Cal thiaj 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 them rau cov khoom siv txiav kev haus luam yeeb? (piv txwv li. Chantix, Zyban thiab kev kho mob hloov nicotine)​​ 

Yog. Medi-Cal them rau cov khoom siv txiav kev haus luam yeeb. Ntxiv rau qhov ntawd, Smokers’ Helpline ntawm (800) NO BUTTS ((800) 662-8887) yog ib qho kev pab cuam pub dawb rau txhua tus neeg California suav nrog cov neeg tau txais Medi-Cal.​​ 

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

Yog, Medi-Cal muaj ib daim ntawv teev tshuaj hu ua "Medi-Cal Rx Contract Drugs List" (CDL). Cov tshuaj hauv daim ntawv teev npe no feem ntau tsis tas yuav tsum tau kev tso cai ua ntej. Cov tshuaj uas tsis nyob hauv CDL yuav tsum tau kev tso cai ua ntej. Koj tuaj yeem nrhiav tau CDL ntawm nplooj ntawv Medi-Cal Rx thiab cov ntaub ntawv. Xaiv Cov Npe Khoom Uas Tau Them rau sab laug tes. Cov kev hloov kho tshiab rau daim ntawv teev npe txhua hli. Cov tshuaj muaj npe raws li lawv lub npe dav dav.
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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​​ 

Cov tshuaj twg xav tau Kev Tso Cai Ua Ntej (PA)?​​ 

Txhua yam tshuaj uas tsis teev nyob rau hauv CDL yuav tsum tau kev tso cai ua ntej. Tus kws sau ntawv lossis lub tsev muag tshuaj xa daim ntawv tso cai ua ntej (PA) rau Medi-Cal Rx kom tau txais kev pom zoo los ntawm 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 cov lus nug ntxiv ntawm cov tswv cuab 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.​​