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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 Specialty 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 Provider List

The following is a list of the Contracted Specialty Providers as of August 1, 2024​:

** Delegated pharmacy for the contracted Hemophiliac Treatment Center (HTC)

 City

Name of Facility

Address

Zip

Phone Number

     NPI

Aliso Viejo

Guided Alliance Pharmacy, Inc.

27111 Aliso Creek Rd, Ste 185A

92656

(949) 496-4106 or (877) 846-6232

1831381904

Arcadia

Fidelis Specialty Pharmacy

1002 South Baldwin Ave

91007

(626) 447-2138

1316135569

Baldwin Park

Premier Pharmacy Service

410 Cloverleaf Dr

91706

(626) 626-9400

1053486795

Burbank

Specialty Care Rx​

212 W. Magnolia Blvd

91502

(818) 848-8112

1639358047

Burbank
Oso Home Care Pharmacy
2811 N. Lima Street
91504
(949) 660-7126
1467726638
Canoga Park
Biomatrix Specialty Pharmacy
7959 Deering Ave
91304
(800) 404-1963
1982698189

Carpinteria

Santa Barbara Specialty Pharmacy

4690 Carpinteria Ave, Ste B

93013

(805) 770-2061

1609209352

Carlsbad
Optum Infusion Services 500, LLC
1819 Aston Ave, Ste 104
92008
(866) 827-0972
1346593118
Commerce
AcariaHealth #13 Pharmacy
3302 Garfield Ave
90040
(800) 511-5144
1992786495

Corona

Accredo Health Group

2410 Wardlow Rd, Ste 101

92880

(800) 622-1820

1952359150

Fresno

Valley Children's Home Care (HTC)

5085 E. McKinney Ave, Rm 129

93727

(559) 353-7125

1275612673

Glendale
InfuCare Rx
6108 San Fernando Rd
91201
(877) 469-6033
1528462835

Hayward

Crescent Healthcare

25901 Industrial Blvd, Bldg E

94545

(877) 872-4844

1922074749

Inglewood

Soleo Health

721 S. Glasgow  Ave, Ste C

90301

(310) 833-5508

1013134113

Irvine

Oso Home Care

17175 Gillette Ave

92614

(949) 660-7126

1215966205

Long Beach
Infusion Care Pharmacy North
455 E. Columbia St, Ste 10
90806
(562) 933-7702
1053653782

Los Angeles

Children’s Hospital Los Angeles (HTC)

**Children's Hospital LA Specialty Pharmacy

**Red Chip of Nevada 

4650 W. Sunset Blvd

4650 Sunset Blvd, Los Angeles


18009 Sky Park Cir, Ste F, Irvine

90027

90027


92614

(877) 916-1796

(323) 660-2450


(949) 223-9830

1124073366

1659552636


1356746267

Los Angeles

Orthopaedic Hospital Outpatient Pharmacy (HTC)

403 W. Adams Blvd

90007

(213) 742-1128

1386627966

Menlo Park

LPCH Children’s Home Pharmacy (HTC)

4600 Bohannon Dr, Ste 105

94025

(650) 497-8316

1407864374

Orange

AmeriPharma

132 S. Anita Drive, #210

92868

(877) 778-0318

1336170679

Orange
Center for Inherited Blood Disorders Pharmacy (HTC)
701 S Parker St, Ste 1400
92868
(949) 748-7615
1598067613

Orange

Specialty Care Rx

2140 West Chapman Ave, #110

92868

(714) 941-6177

1104191592

Oxnard
Hueneme Family Pharmacy
401 N. Lombard St, Ste A
93030
(805) 488-8200
1023296449

Palm Desert

River's Edge Pharmacy

36919 Cook Street #102

92211

(760) 340-3248 ext 1239

1689823486

Redlands

CVS/Caremark Specialty Pharmacy

1127 Bryn Mawr Ave, Ste A

92374

(909) 796-7171

1013998921

Riverside
Beeman's Redlands Pharmacy
11705 Slate Ave, Ste 250
92505
(800) 291-1089
1659550176

Sacramento

UCD Med Center Davis at Home Factor Program (HTC)

**AllCare Specialty Pharmacy

**Beemans Redlands Pharmacy

2000 Stockton Blvd, Ste 2002


1403 Ave, Ste 150, Santa Ana

11705 Slate Ave, Ste 250, Riverside

95817


92705

92505

(888) 437-5185


(714) 760-4615

(909) 792-2300

1578639308


1164053708

1659550176

Sacramento
AcariaHealth #14 Pharmacy
4151 E. Commerce Way #1041
95834
(800) 511-5144
1699096842
​San Diego
​Cure Stat Rx
​6725 Mesa Ridge Rd, Ste 230
​92121
​(858) 275-2144
​1639688732

San Diego

Profusion Specialty Pharmacy

7250 Engineer Rd, Ste D

92111

(619) 537-7900

1548713050

San Diego

Rady Children's HomeCare Pharmacy (HTC)

8291 Aero Place, Ste 130

92123

(858) 966-3535

1699853713

San Diego

UCSD Home Infusion Pharmacy (HTC)

9610 Ridgehaven Ct, Ste A

92123

(619) 543-5231

1730273582

San Francisco

UCSF Regional Adult Hemophilia Treatment Center (HTC)

**Red Chip of Nevada

**Caremark dba CVS/Specialty

400 Parnassus Ave, 4th Floor


18009 Sky Park Cir, Ste F, Irvine

1127 Bryn Mawr Ave, Ste A, Redlands

94143


92614

92374

(415) 353-2421


(949) 223-9830

(909) 7967171

1285818112


1356746267

1013998921

San Francisco

UCSF Regional Pediatric Hemophilia Treatment Center (HTC)

**Red Chip of Nevada

**Caremark dba CVS/Specialty

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

18009 Sky Park Cir, Ste F, Irvine

1127 Bryn Mawr Ave, Ste A, Redlands

94158

92614

92374


(415) 476-4901

(949) 223-9830

(909) 7967171

1285818112

1356746267

1013998921

Santa Barbara
Santa Barbara Specialty Pharmacy
4690 Carpinteria Ave, Ste B
93013
(805) 770-2061 or (844) 726-8279
1609209352

Santa Fe Springs

Crescent Healthcare

11980 Telegraph Rd, Ste 102

90670

(877) 872-4844

1932192523

Santa Fe Springs

Crescent Healthcare

11980 Telegraph Rd, Ste 100

90670

(877) 872-4844

1225204050

Tarzana
MVP Pharmacy
5620 Wilbur Ave, Ste 100
91356
(747) 265-6781
1366989709

Temecula

NuFACTOR, Inc.

44900 Winchester Rd

92590

(800) 323-6832

1861599540

Torrance

Premier Infusion and HealthCare Services, Inc.

19500 Normandie Ave

90502

(866) 365-2525

1417904574

West Hollywood
Cienega Pharmacy
7360 Santa Monica Blvd, Ste 101
90046(310) 360-9969
1134280456

Last modified date: 8/27/2024 10:48 AM